Individual provider Active NPI

Lauren Michal Moyer, LCSW

  • Clinical Social Worker
  • Springfield, OR
National Provider Identifier
1831404482
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7161 Issued in OR
Practice address
3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514
Phone
(541) 868-9700
Fax
(541) 485-7392
NPI assigned
Aug 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 L7161 OR Primary

Addresses

Primary practice location

3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514

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
I20170712002713 OR Practitioner - Clinical Social Worker 5890064497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Development, Inc. CurrentSince Jun 7, 2017 Accepting new patients
Center for Family Development, Inc. CurrentSince Jun 7, 2017 Accepting new patients

Locations

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

261 E 12th Ave
Eugene, OR 97401

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1831404482",
    "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": "541-242-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MARTIN LUTHER KING JR PKWY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777514",
            "telephone_number": "541-868-9700",
            "fax_number": "541-485-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "LAUREN",
        "middle_name": "MICHAL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.