Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104361534 Individual Practitioner Male Practitioner

Todd B. Jeter , LCSW, CADC III

Social Worker - Clinical • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Todd Jeter, LCSW, CADC III is a registered healthcare professional specializing in Social Worker - Clinical in Eugene, OR. Practice services are available at 2440 WILLAMETTE ST STE 201&202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2440 Willamette St Ste 201&202

Eugene, OR 974053170

Telephone 5412343090
Fax 5417359480
Associated Practice Facility / Clinic
🏢 Fjord Counseling Llc Facility NPI 1972216877

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
402 Specialists

Practicing in Eugene, OR (5148 Statewide)

Telehealth Adoption Rate
8.7% 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: 2026-06-03
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OR L10427

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR 16-11-18

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500731705 (OR)
Medicaid State Provider ID
500725923 (OR)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Molly Moore

Case Manager/Care Coordinator

NPI 1194616771
Scott Broussard

Counselor - Professional

NPI 1225246531
NPI 1366812281
NPI 1447836382
Mckenzie Isham

Peer Specialist

NPI 1629911334
Elizabeth Haslob

Counselor - Mental Health

NPI 1821914912

Career & Practice History Timeline

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

22 Historical Events
📍
Updated Practice Location June 03, 2026

Registered at 2440 WILLAMETTE ST STE 201&202, EUGENE, OR 974053170 (Tel: 5412343090)

📍
Updated Business Mailing Address June 03, 2026

Registered at 2440 WILLAMETTE ST STE 201&202, EUGENE, OR 974053170 (Tel: 5412343090)

📍
Updated Practice Location May 30, 2024

Registered at 1445 WILLAMETTE ST STE 3, EUGENE, OR 974014087 (Tel: 5412343090)

📍
Updated Business Mailing Address May 30, 2024

Registered at PO BOX 40142, EUGENE, OR 974040020 (Tel: 5412343090)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2024

Counselor (License #16-11-18 in OR)

📍
Updated Practice Location November 08, 2023

Registered at 1355 W 13TH AVE, EUGENE, OR 974023955 (Tel: 5412343090)

📍
Updated Business Mailing Address November 08, 2023

Registered at 1355 W 13TH AVE, EUGENE, OR 974023955 (Tel: 5412343090)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2023

Social Worker (License #L10427 in OR)

📍
Updated Practice Location January 03, 2023

Registered at 1997 GARDEN AVE, EUGENE, OR 974031934 (Tel: 5413445978)

📍
Updated Business Mailing Address January 03, 2023

Registered at 3366 MERRYVALE RD, EUGENE, OR 974043868 (Tel: 5419543485)

👤
Provider Name / Credentials Updated January 03, 2023

Recorded as TODD JETER, LCSW, CADC III

📍
Updated Practice Location July 17, 2019

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381996 (Tel: 5036239289)

📍
Updated Business Mailing Address July 17, 2019

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381996 (Tel: 5036239289)

👤
Provider Name / Credentials Updated July 17, 2019

Recorded as TODD JETER, CSWA, MAC, CADC III

👤
Provider Name / Credentials Updated March 22, 2019

Recorded as TODD JETER, CSWA, QMHP, CADC III

👤
Provider Name / Credentials Updated April 10, 2018

Recorded as TODD JETER, MSW, QMHP, CADC II

NPI Profile Active December 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2016

Registered at 687 CHESHIRE AVE, EUGENE, OR 974025060 (Tel: 5416844170)

📍
Updated Business Mailing Address December 20, 2016

Registered at 687 CHESHIRE AVE, EUGENE, OR 974025060 (Tel: 5416844170)

👤
Provider Name / Credentials Updated December 20, 2016

Recorded as TODD JETER, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2016

Counselor (License #16-11-18 in OR)

🟢
Initial NPI Registration & Enumeration December 20, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104361534
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2016
Last Update: June 03, 2026
Sole Proprietor: No

Mailing Address

2440 Willamette St Ste 201&202

Eugene, OR 974053170

Phone: 5412343090

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.