Active NPI
Elisabeth Eugenia Goldenberg, MSW, QMHP
- Clinical Social Worker
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5871
- Practice address
- 2440 Willamette St Ste 201
Eugene, OR 97405-3170 - Phone
- (541) 321-2278
- Fax
- (541) 246-8826
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L5871 | OR | Primary |
Addresses
Primary practice location
2440 Willamette St Ste 201
Eugene, OR 97405-3170
Mailing address
4059 Donald St Apt J
Eugene, OR 97405-3971
Phone (541) 517-2517
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2440 Willamette St
Suite 201
Eugene, OR 97405-3170
Phone (541) 321-2278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5871 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arise Counseling Service, LLC. Dba Northlight Counseling | Clinical | Current | Accepting new patients |
| Options Counseling Services of Oregon | Current | Accepting new patients | |
| Inner Room Somatic Therapy, LLC | Past | Accepting new patients |
Locations
360 E 10th Ave
Ste 450
Eugene, OR 97401
1255 Pearl St
Ste 102
Eugene, OR 97401
1075 Washington St
Eugene, OR 97401
Phone (541) 321-2278
2440 Willamette St
Ste 201
Eugene, OR 97405
Phone (541) 234-3090
11010 SE Division St
Ste 202
Portland, OR 97266
Phone (503) 335-5975
3085 River Rd N
Salem, OR 97303
Phone (541) 321-2278
2645 Portland Rd NE
Ste 120
Salem, OR 97301
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Eugene, OR
- NPI 1447715834
-
- Mental Health Counselor
- Eugene, OR
- NPI 1548275217
-
- Professional Counselor
- Eugene, OR
- NPI 1073241030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1801924253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4059 DONALD ST APT J",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053971",
"telephone_number": "541-517-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 WILLAMETTE ST STE 201",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053170",
"telephone_number": "541-321-2278",
"fax_number": "541-246-8826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "ELISABETH",
"middle_name": "EUGENIA",
"name_prefix": "Ms.",
"credential": "MSW, QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.