Individual provider Active NPI

Raymond Scott Scampini, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1861419806
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3093 Issued in OR
Practice address
211 E 7TH Ave
Eugene, OR 97401-2773
Phone
(541) 242-0453
Fax
(541) 265-6602
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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 L3093 OR Primary

Addresses

Primary practice location

211 E 7TH Ave
Eugene, OR 97401-2773

Mailing address

2021 Orchard St
Eugene, OR 97403-2043
Phone (541) 905-1897

Other identifiers 1

IdentifierTypeStateIssuer
L3093OtherORLCSW

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

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1861419806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 ORCHARD ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032043",
            "telephone_number": "541-905-1897",
            "fax_number": "541-440-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 7TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012773",
            "telephone_number": "541-242-0453",
            "fax_number": "541-265-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAMPINI",
        "first_name": "RAYMOND",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "L3093",
            "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 Apr 7, 2016; 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.