KRISTIN H HORAK (NPI# 1619410792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619410792 |
| Entity Type | Individual |
| Full Name | KRISTIN H HORAK |
| Credential | LCSW, LICSW |
| Practice Address |
3355 Chad Drive Department of Va, Eugene Hcc, PCmhi Eugene OR 97408 |
| Mailing Address |
Po Box 10374 Honolulu HI 96816-0374 |
| Practice Telephone | 4582057826 |
| Mailing Telephone | 8084795782 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2018-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
089.0117525 | VT | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4264 | HI | Behavioral Health & Social Service Providers |
| Street Address |
3355 CHAD DRIVE DEPARTMENT OF VA, EUGENE HCC, PCMHI |
| City | EUGENE |
| State | OR |
| Zip Code | 97408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023061322 | Roseburg Vamc | Clinic/Center | 3355 Chad Drive, Eugene, OR 97408-7428 | 2006-05-18 |
| 1235599614 | Roseburg Vamc | Department of Veterans Affairs (VA) Pharmacy | 3355 Chad Drive, Eugene, OR 97408-7428 | 2016-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1376181982 | Quentin Rowan | Counselor | 91150 Industrial Way, Coburg, OR 97408 | 2019-12-13 |
| 1659918621 | Nicholas Andrew Sparks | Counselor | 91150coburg Industrial Way, Coburg, OR 97408 | 2019-12-09 |
| 1629619267 | Suzan Marie Farr | Counselor | 91150 Coburg Industrial Lane, Coburg, OR 97408 | 2019-10-04 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1427513241 | Margaret Elizabeth Desroches | Registered Nurse | Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 | 2019-02-06 |
| 1295218527 | Stephen Duane Sawyer | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408 | 2018-09-12 |
| 1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1851752232 | Nicole Marie Westbrook | Chiropractor | 90971 S Willamette St, Coburg, OR 97408 | 2016-03-14 |
| Find all providers in zip 97408 | ||||
| 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.