Individual provider Active NPI

Barbara Ann Kloos, LCSW CACIII

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1962534529
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6675 Issued in OR
Practice address
2650 Suzanne Way
Ste 200
Eugene, OR 97408-7619
Phone
(541) 228-3008
Fax
(541) 228-3108
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 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 L6675 OR Primary

Addresses

Primary practice location

2650 Suzanne Way
Ste 200
Eugene, OR 97408-7619

Mailing address

2650 Suzanne Way
Ste 120
Eugene, OR 97408-7619
Phone (541) 228-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2650 Suzanne Way
Suite 120
Eugene, OR 97408-7619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Community Health Solutions CurrentSince Apr 1, 2016 Accepting new patients
Willamette Community Health Solutions CurrentSince Apr 1, 2016 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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1962534529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY",
            "address_2": "STE 120",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-228-3008",
            "fax_number": "541-228-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY",
            "address_2": "STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-228-3008",
            "fax_number": "541-228-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOOS",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW CACIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.