Individual provider Active NPI

Jeffrey L Lenker, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1851504021
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L2617 Issued in OR
Practice address
401 E 10TH Ave Ste 330
Eugene, OR 97401-3357
Phone
(800) 922-7009
Fax
(877) 730-5113
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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 L2617 OR Primary

Addresses

Primary practice location

401 E 10TH Ave Ste 330
Eugene, OR 97401-3357

Mailing address

2650 Suzanne Way 120
Eugene, OR 97408-7619
Phone (541) 345-2800

Other identifiers 2

IdentifierTypeStateIssuer
810573161OtherORCLINIC TAX ID
844704001OtherORREGENCE BCBSO PROV NO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Community Health Solutions CurrentSince Jul 1, 2015 Accepting new patients
Willamette Community Health Solutions CurrentSince Jul 1, 2015 Accepting new patients
Willamette Community Health Solutions Past Accepting new patients

Locations

89 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 228-3000

2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1851504021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY 120",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-345-2800",
            "fax_number": "541-345-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 10TH AVE STE 330",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013357",
            "telephone_number": "800-922-7009",
            "fax_number": "877-730-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENKER",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC TAX ID",
            "identifier": "810573161",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBSO PROV NO",
            "identifier": "844704001",
            "state": "OR"
        }
    ],
    "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 Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.