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Lori Ann Wilson , LCSW

Social Worker β€’ Springfield, OR

Active NPI 1114329422 Individual Practitioner Female Practitioner
Practice location in NPPES

3377 Riverbend Dr
Springfield, OR 974778803

Call 5412228400 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

3377 Riverbend Dr

Springfield, OR 974778803

Telephone 5412228400
Fax 5412228401
Organization at the Same NPPES Address or Phone
Peacehealth Facility NPI 1740223874

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

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Eugene, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

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

Enrolled in Medicare (PECOS)

Lori Wilson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Lori Wilson as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Oregon

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 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

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OR A4541

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OR 12-12-68
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Peer Specialist

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OR THW1524

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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
500679239 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20190621000788

Enrollment State Jurisdiction

OR

PECOS Control ID

5395079586

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2145 Centenial Plaza, Laurel Hill Center

Eugene, OR 97402

Phone: 5414856384

770 E 11th Ave

Eugene, OR 974013746

Phone: 4582057039

2411 Martin Luther King Jr Blvd

Eugene, OR 974015824

Phone: 5416822486

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
NPI 1447792981

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Frank Bittner , DO

Psychiatry & Neurology - Neurology

NPI 1396030052

Doctor of Osteopathic Medicine (D.O.)

Dr. Elizabeth Callan , MD

Psychiatry & Neurology - Neurology

NPI 1063775732

Doctor of Medicine (M.D.)

Dr. Valerie Coon , MD

Neurological Surgery

NPI 1407026263

Doctor of Medicine (M.D.)

Alan Garcin , ACNP

Nurse Practitioner - Acute Care

NPI 1063849024
NPI 1033762901

Nurse Practitioner

Career & Practice History Timeline

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

16 Historical Events
πŸ“
Updated Practice Location April 10, 2019

Registered at 3377 RIVERBEND DR, SPRINGFIELD, OR 974778803 (Tel: 5412228400)

πŸ“
Updated Business Mailing Address April 10, 2019

Registered at 1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 986838004 (Tel: 3607291412)

πŸ‘€
Provider Name / Credentials Updated April 10, 2019

Recorded as LORI WILSON, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2019

Social Worker (license number reported to NPPES: OR A4541)

βœ…
NPI Profile Active December 07, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 07, 2017

Registered at 2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 974015824 (Tel: 5416822486)

πŸ“
Updated Business Mailing Address December 07, 2017

Registered at 2073 OLYMPIC ST, SPRINGFIELD, OR 974773413 (Tel: 5416823550)

πŸ‘€
Provider Name / Credentials Updated December 07, 2017

Recorded as LORI WILSON, MSW,MAC, QMHP,PSS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2017

Counselor (license number reported to NPPES: OR 12-12-68)

πŸ“
Updated Practice Location January 18, 2017

Registered at 2145 CENTENIAL PLAZA, LAUREL HILL CENTER, EUGENE, OR 97402 (Tel: 5414856384)

βœ…
NPI Profile Active December 15, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 15, 2016

Registered at 2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 974015824 (Tel: 5416823608)

πŸ“
Business Mailing Address (Initial Record) December 15, 2016

Registered at 2478 BEAVER ST, EUGENE, OR 974042404 (Tel: 5416067390)

πŸ‘€
Provider Name / Credentials (Initial Record) December 15, 2016

Recorded as LORI WILSON, MSW,CSWA, PSS, CADCI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2016

Counselor (license number reported to NPPES: OR 12-12-68)

🟒
Initial NPI Registration & Enumeration September 17, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114329422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2014
Last Update: April 10, 2019
Sole Proprietor: No

Mailing Address

1115 Se 164th Ave Dept 358

Vancouver, WA 986838004

Phone: 3607291412

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.