Individual provider Active NPI

Jeremy A Springer, DSW, MSW, LCSW

  • Clinical Social Worker
  • Goldendale, WA
National Provider Identifier
1841540143
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5496 Issued in OR
Practice address
36 Forest Hill LN
Goldendale, WA 98620-2518
Phone
(541) 861-9128
NPI assigned
Sep 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L5496 OR
Clinical Social Worker 1041C0700X L5496 OR Primary

Addresses

Primary practice location

36 Forest Hill LN
Goldendale, WA 98620-2518

Mailing address

36 Forest Hill LN
Goldendale, WA 98620-2518
Phone (541) 861-9128

Other practice location 1

273 Mill St
Falls City, OR 97344-9800
Phone (541) 861-9128

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
I20160315001313 OR Practitioner - Clinical Social Worker 5395068423 Practice locations: Falls City, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Psychological and Counseling Services LLCGroup PAC ID 7719975085, 331 clinicians

Practice addresses (Care Compare)

2211 NW Professional Dr
Suite 101
Corvallis, OR 97330-3891
Phone (541) 829-5450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremy a. Springer, LCSW Clinical CurrentSince Jan 30, 2016 Accepting new patients
Mid-Columbia Center for Living PastSince Jun 15, 2021 Accepting new patients
Mid-Columbia Center for Living PastSince Dec 2, 2019 Accepting new patients

Locations

500 Washington St
The Dalles, OR 97058
Phone (541) 370-2350

Organizations & group practices 4

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1841540143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FOREST HILL LN",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986202518",
            "telephone_number": "541-861-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 FOREST HILL LN",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986202518",
            "telephone_number": "541-861-9128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 Mill St",
            "address_purpose": "LOCATION",
            "city": "Falls City",
            "state": "OR",
            "postal_code": "973449800",
            "country_code": "US",
            "telephone_number": "541-861-9128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "JEREMY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DSW, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L5496",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldendale, WA

Sources for this page

Verify at the official NPI Registry.