Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073044830 Individual Practitioner Female Practitioner

Carly Rose , QMHA, THW-YSS, CPC

Case Manager/Care Coordinator • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Carly Rose, QMHA, THW-YSS, CPC is a registered healthcare professional specializing in Case Manager/Care Coordinator in Eugene, OR. Practice services are available at 2411 MARTIN LUTHER KING JR BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2411 Martin Luther King Jr Blvd

Eugene, OR 974015824

Telephone 5416036965
Fax 5416823276
Associated Practice Facility / Clinic
🏢 Lane County Facility NPI 1588857635

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
103 Specialists

Practicing in Eugene, OR (4272 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-15
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License OR 21-QMHA-R-1845

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Madeline Pritchard

Social Worker - Clinical

NPI 1043731532
Patrick Farr

Social Worker

NPI 1043765209
Patrick Dougherty , AAC

Counselor - Mental Health

NPI 1083964852
Dana Fleming , MSW, LCSW

Social Worker - Clinical

NPI 1184978900

Master of Social Work, Licensed Clinical Social Worker

Dr. Martina Jonsson , MD

Psychiatry & Neurology - Psychiatry

NPI 1205092061

Doctor of Medicine (M.D.)

Levi Drago

Counselor - Mental Health

NPI 1205222015

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 15, 2023

Registered at 2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 974015824 (Tel: 5416036965)

📍
Updated Business Mailing Address June 15, 2023

Registered at 2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 974015824 (Tel: 5416036965)

👤
Provider Name / Credentials Updated June 15, 2023

Recorded as CARLY ROSE, QMHA, THW-YSS, CPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2023

Case Manager/Care Coordinator (License #21-QMHA-R-1845 in OR)

NPI Profile Active March 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2017

Registered at 711 STATE AVE NE, OLYMPIA, WA 985063984 (Tel: 3609990010)

📍
Updated Business Mailing Address March 23, 2017

Registered at 711 STATE AVE NE, OLYMPIA, WA 985063984 (Tel: 3609990010)

👤
Provider Name / Credentials Updated March 23, 2017

Recorded as CARLY ROSE, B.A., CPC, AAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2017

Counselor

🟢
Initial NPI Registration & Enumeration March 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073044830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2017
Last Update: June 15, 2023
Sole Proprietor: No

Mailing Address

2411 Martin Luther King Jr Blvd

Eugene, OR 974015824

Phone: 5416036965

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.