Individual provider Active NPI

Ivy Dreyer-Goldman, MSW, CSWA

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1922736719
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A14070- Issued in OR
Practice address
66 Club Rd Ste 300
Eugene, OR 97401-2463
Phone
(541) 393-5983
Fax
(541) 726-1465
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A14070 OR
Clinical Social Worker 1041C0700X A14070- OR Primary

Addresses

Primary practice location

66 Club Rd Ste 300
Eugene, OR 97401-2463

Mailing address

66 Club Rd Ste 300
Eugene, OR 97401-2463
Phone (541) 393-5983

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A14070ORMDCounselor
A14070-ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1922736719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CLUB RD STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012463",
            "telephone_number": "541-393-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CLUB RD STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012463",
            "telephone_number": "541-393-5983",
            "fax_number": "541-726-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYER-GOLDMAN",
        "first_name": "IVY",
        "credential": "MSW, CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "A14070",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A14070-",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 24, 2026; 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.