SPENCER TUCKER SHORT (NPI# 1164074217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164074217 |
| Entity Type | Individual |
| Full Name | SPENCER TUCKER SHORT |
| Practice Address |
1790 W 11th Ave Ste 200 Eugene OR 97402-3871 |
| Practice Telephone | 5416862688 |
| Mailing Telephone | 5416862688 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
1790 W 11TH AVE STE 200 |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-3871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265725956 | Adriel Vasquez | Marriage & Family Therapist | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2011-05-27 |
| 1811594872 | Pedro Pacheco | Counselor | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2020-10-02 |
| 1659998755 | Jennifer Rose Getty | Counselor | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2020-07-06 |
| 1578199097 | Adam Todd | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2020-03-16 |
| 1497393425 | Bradley Paul Roan Eagle | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-12-20 |
| 1720626443 | Alexandra Staunton Zinke | Counselor | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-12-12 |
| 1801433792 | Sanyelle Wilson | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-12-10 |
| 1215574371 | Summer Denney | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-12-06 |
| 1609412139 | Sarah Duffey | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-11-19 |
| 1639713241 | Mirjum Kareene Woods | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961755 | Audrey Schwartz, Lcsw, Lcc | Social Worker | 1518 W 25th Ave, Eugene, OR 97405-1817 | 2020-10-27 |
| 1164021044 | Frederick Dygert, Lcsw | Social Worker | 1445 Willamette St Ste 2b, Eugene, OR 97401-4087 | 2020-10-21 |
| 1699391821 | Nishant Kamthan | Social Worker | 211 E 7th Ave Rm 274, Eugene, OR 97401-2773 | 2020-06-23 |
| 1447889266 | Art of Self | Social Worker | 1075 Washington St Ste 110, Eugene, OR 97401-3689 | 2020-04-03 |
| 1558994335 | Kellie Kreitzberg, Lcsw LLC | Social Worker | 374 W 12th Ave Ste 2, Eugene, OR 97401-3449 | 2020-02-19 |
| 1316570682 | Megan Turner, Lcsw | Social Worker | 1075 Washington St Ste 120, Eugene, OR 97401-3689 | 2020-02-14 |
| 1962041889 | Geomancie Promise LLC With Hellinger Systemic Constellations | Social Worker | 2111 Lorane Hwy, Eugene, OR 97405-1773 | 2019-12-23 |
| 1639728017 | L Anderson Freck, Lcsw, LLC | Social Worker | 374 W 12th Ave, Eugene, OR 97401-3449 | 2019-09-08 |
| 1336794957 | Jamyn Gavello | Social Worker | 151 W 7th Ave Ste 190, Eugene, OR 97401-2676 | 2019-08-09 |
| 1215597034 | Megan Olds | Social Worker | 541 Willamette St Ste 208e, Eugene, OR 97401-2608 | 2019-06-14 |
| Find all providers in EUGENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.