Individual provider Active NPI

Kristen Leighanne Curtis, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1801148986
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7195 Issued in OR
Practice address
171 Lawrence St
Eugene, OR 97401-2221
Phone
(458) 209-4272
Fax
(541) 654-8123
NPI assigned
Oct 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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 L7195 OR Primary

Addresses

Primary practice location

171 Lawrence St
Eugene, OR 97401-2221

Mailing address

PO Box 12244
Eugene, OR 97440-4444
Phone (458) 209-4272

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
I20170814001129 OR Practitioner - Clinical Social Worker 4789955576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

171 Lawrence St
Eugene, OR 97401-2221
Phone (458) 209-4272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen Leighanne Curtis LCSW LLC CurrentSince Jan 15, 2019 Accepting new patients

Locations

171 Lawrence St
Eugene, OR 97401
Phone (541) 343-1887

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1801148986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12244",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974404444",
            "telephone_number": "458-209-4272",
            "fax_number": "541-654-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LAWRENCE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012221",
            "telephone_number": "458-209-4272",
            "fax_number": "541-654-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "KRISTEN",
        "middle_name": "LEIGHANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.