Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114329422 Individual Practitioner Female Practitioner

Lori Ann Wilson , LCSW

Social Worker • Springfield, OR

Professional Overview & Biography Verified Profile Summary

Lori Wilson, LCSW is a registered healthcare professional specializing in Social Worker in Springfield, OR. Practice services are available at 3377 RIVERBEND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3377 Riverbend Dr

Springfield, OR 974778803

Telephone 5412228400
Fax 5412228401
Associated Practice Facility / Clinic
🏢 Peacehealth Facility NPI 1740223874

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Springfield, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Springfield, OR (2149 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

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License 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

State License OR 12-12-68

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500679239 (OR)

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

Practice Associates & Co-Workers

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

20 Associated Practitioners
Sean Rabacal , PA-C

Physician Assistant - Surgical

NPI 1033283627

Physician Assistant (Certified)

NPI 1033762901

Nurse Practitioner

Dr. Elizabeth Callan , MD

Psychiatry & Neurology - Neurology

NPI 1063775732

Doctor of Medicine (M.D.)

Alan Garcin , ACNP

Nurse Practitioner - Acute Care

NPI 1063849024
Dr. Jenna Shenk , DO

Internal Medicine - Critical Care Medicine

NPI 1174819502

Doctor of Osteopathic Medicine (D.O.)

Zakhar Serkin

Psychiatry & Neurology - Neurology

NPI 1174942916

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location April 10, 2019

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

📍
Updated Business Mailing Address April 10, 2019

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

👤
Provider Name / Credentials Updated April 10, 2019

Recorded as LORI WILSON, LCSW

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

Social Worker (License #A4541 in OR)

NPI Profile Active December 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2017

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

📍
Updated Business Mailing Address December 07, 2017

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

👤
Provider Name / Credentials Updated December 07, 2017

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

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

Counselor (License #12-12-68 in OR)

📍
Updated Practice Location January 18, 2017

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

NPI Profile Active December 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2016

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

📍
Updated Business Mailing Address December 15, 2016

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

👤
Provider Name / Credentials Updated December 15, 2016

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

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

Counselor (License #12-12-68 in OR)

🟢
Initial NPI Registration & Enumeration September 17, 2014

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: 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

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.