Mr Todd B Jeter, LCSW, CADC III is a
Social Worker - Clinical based in Eugene, Oregon. Mr Todd B Jeter is licensed to practice in Oregon (license number L10427) and his current practice location is
1445 Willamette St Ste 3, Eugene, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 234-3090.
NPI number for Mr Todd B Jeter is 1104361534 and his current mailing address is Po Box 40142, Eugene, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104361534.
Healthcare Provider's Profile
| Full Name | Mr Todd B Jeter |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1445 Willamette St Ste 3, Eugene, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104361534
- Provider Enumeration Date: 12/20/2016
- Last Update Date: 05/30/2024
Medical Identifiers
Medical identifiers for Mr Todd B Jeter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104361534 | NPI | - | NPPES |
| 500731705 | Medicaid | OR | |
| 500725923 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16-11-18 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19-01-20 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L10427 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Todd B Jeter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Todd B Jeter, LCSW, CADC III
Po Box 40142,
Eugene, OR 97404-0020
Ph: (541) 234-3090 | Mr Todd B Jeter, LCSW, CADC III
1445 Willamette St Ste 3,
Eugene, OR 97401-4087
Ph: (541) 234-3090 |
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