Individual provider Active NPI

Connor O'Shea

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1790397818
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L30033 Issued in OR
Practice address
261 E 12TH Ave
Eugene, OR 97401-3208
Phone
(541) 342-8437
NPI assigned
Aug 19, 2020
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L30033 OR Primary

Addresses

Primary practice location

261 E 12TH Ave
Eugene, OR 97401-3208

Mailing address

1258 High St
Eugene, OR 97401-3238
Phone (541) 342-8437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106003767 OR Practitioner - Clinical Social Worker 4385172220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

261 E 12TH Ave
Eugene, OR 97401-3208
Phone (541) 342-8437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L30033ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Development, Inc. Clinical CurrentSince Oct 5, 2021 Accepting new patients
Center for Family Development, Inc. CurrentSince Nov 22, 2024 Accepting new patients

Locations

1234 High St
Eugene, OR 97401
Phone (541) 343-8122

1258 High St
Eugene, OR 97401
Phone (541) 342-6204

261 E 12th Ave
Eugene, OR 97401
Phone (541) 780-4277

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1790397818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 HIGH ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013238",
            "telephone_number": "541-342-8437",
            "fax_number": "458-201-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013208",
            "telephone_number": "541-342-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "CONNOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L30033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.