Active NPI
Dorothy Ellen Abelson, LCSW
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1912019787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0748
- Practice address
- 2290 Oakmont Way
Eugene, OR 97401-5519 - Phone
- (541) 484-9722
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0748 | OR | Primary |
Addresses
Primary practice location
2290 Oakmont Way
Eugene, OR 97401-5519
Mailing address
899 Classic PL
Eugene, OR 97401-5115
Phone (541) 343-8603
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J9100 | Other | OR | PACIFICSOURCE HEALTH PLAN |
| R03099 | Other | OR | PACIFICARE BEHAVIORAL HEA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 748 | OR | MD | Clinical Psychologist |
| 0748 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912019787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 CLASSIC PL",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015115",
"telephone_number": "541-343-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 OAKMONT WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015519",
"telephone_number": "541-484-9722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABELSON",
"first_name": "DOROTHY",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "0748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICSOURCE HEALTH PLAN",
"identifier": "J9100",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE BEHAVIORAL HEA",
"identifier": "R03099",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.