Susan Rebecca Austin, LCSW
Individual provider Active NPI Clinical Social Worker · Eugene, OR
NPI 1811032386 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1811032386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L2863 (OR)
- Practice address
- 1255 Pearl St
Eugene, OR 97401-3570 - Phone
- (541) 687-6983
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190612002169 | OR | Practitioner - Clinical Social Worker | 0840523551 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Room Somatic Therapy, LLC | Past | Accepting new patients |
Interoperability endpoints
- kidsfirst.susanaustin@153085.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L2863 | OR | Yes |
Addresses
Primary practice location
1255 Pearl St
Eugene, OR 97401-3570
Mailing address
2345 Hawkins LN
Eugene, OR 97405-1385
Phone (541) 554-2858
Other practice location 1
3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-8500
Other practice location 2
4010 Aerial Way
Eugene, OR 97402-9757
Phone (541) 242-8500
Other practice location 3
1200 Hilyard St Ste 420
Eugene, OR 97401-8161
Phone (458) 205-6444
Other names
- Ms. Rebecca Austin Cacioppi
Other providers in Eugene, OR
- Wella Augustine
- Auralcare Hearing Centers of America, LLC
- Alison Rebekah Austin
- Douglas John Austin
- Matthew Michael Austin
- Avalon Health Care - Green Valley LLC
- Avalon Health Care - Hillside Heights LLC
- Avalon Health Care - South Hills LLC
- Laura Carola Avalos Sluder
- Avamere Home Health Care, LLC
All providers in Eugene, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.