Individual provider Active NPI

Elizabeth Crumrine

  • Clinical Social Worker
  • Medford, OR
National Provider Identifier
1992194302
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11416 Issued in OR
Practice address
201 W 6TH St
Medford, OR 97501-2708
Phone
(541) 200-2900
Fax
(541) 200-2948
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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 L11416 OR Primary

Addresses

Primary practice location

201 W 6TH St
Medford, OR 97501-2708

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260403002837 OR Practitioner - Clinical Social Worker 2365917655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3587 Heathrow Way
Medford, OR 97504-4004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L11416ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life'S a Journey Therapy Services, LLC Clinical Current Accepting new patients
Columbiacare Services Inc CurrentSince May 7, 2024 Accepting new patients

Locations

201 W 6th St
Medford, OR 97501
Phone (541) 200-2900

3587 Heathrow Way
Medford, OR 97504

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1992194302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 HEATHROW WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044004",
            "telephone_number": "541-858-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 6TH ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012708",
            "telephone_number": "541-200-2900",
            "fax_number": "541-200-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMRINE",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.