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Amalia Sullivan , LCSW

Social Worker β€’ Eugene, OR

Active NPI 1881974780 Individual Practitioner Female Practitioner
Practice location in NPPES

2520 Chaucer Ct
Eugene, OR 974051217

Call 5412036703 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2520 Chaucer Ct

Eugene, OR 974051217

Telephone 5412036703
Fax 5412291209
Organization at the Same NPPES Address or Phone
Inner Light Counseling & Bodywork Llc Facility NPI 1124637236

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eugene and Oregon

144 active clinicians are listed under Social Worker with a practice address in Eugene, OR (2,104 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

0.7% of these 144 clinicians have the CMS telehealth indicator.

3.5% of these 144 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-02-27
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OR 7561

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500663904 (OR)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location February 27, 2023

Registered at 2520 CHAUCER CT, EUGENE, OR 974051217 (Tel: 5412036703)

πŸ“
Updated Practice Location December 16, 2019

Registered at 1245 PEARL ST STE 201, EUGENE, OR 974013564 (Tel: 5412036703)

πŸ“
Updated Business Mailing Address December 16, 2019

Registered at 2520 CHAUCER CT, EUGENE, OR 974051217 (Tel: 5412036703)

πŸ“
Updated Practice Location June 26, 2018

Registered at 677 E 12TH AVE STE N110, EUGENE, OR 97401 (Tel: 4582057450)

πŸ“
Updated Business Mailing Address June 26, 2018

Registered at 677 E 12TH AVE STE N110, EUGENE, OR 974013620

πŸ‘€
Provider Name / Credentials Updated June 26, 2018

Recorded as AMALIA SULLIVAN, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2018

Social Worker (license number reported to NPPES: OR 7561)

βœ…
NPI Profile Active August 23, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 23, 2011

Registered at 20 E 13TH AVE, EUGENE, OR 974013535 (Tel: 5414844428)

πŸ“
Business Mailing Address (Initial Record) August 23, 2011

Registered at 1755 NW ARTHUR CIR, CORVALLIS, OR 973301940

πŸ‘€
Provider Name / Credentials (Initial Record) August 23, 2011

Recorded as MOLLY SULLIVAN, B.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2011

Social Worker

🟒
Initial NPI Registration & Enumeration August 23, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1881974780
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2011
Last Update: February 27, 2023
Sole Proprietor: Yes

Mailing Address

2520 Chaucer Ct

Eugene, OR 974051217

Phone: 5412036703

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.