| Joann Zumbrunnen, Lcsw, Llc | |
|
927 Country Club Rd Ste 200 Eugene OR 97401-2272 | |
| (541) 357-9439 | |
| (541) 722-7043 |
| Full Name | Joann Zumbrunnen, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 927 Country Club Rd Ste 200, Eugene, Oregon |
| Authorized Official Name and Position | Joann Zumbrunnen (THERAPIST) |
| Authorized Official Contact | 5413579439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joann Zumbrunnen, Lcsw, Llc Po Box 1762 Springfield OR 97477-0184 Ph: (541) 221-9071 | Joann Zumbrunnen, Lcsw, Llc 927 Country Club Rd Ste 200 Eugene OR 97401-2272 Ph: (541) 357-9439 |
| NPI Number | 1104341965 |
|---|---|
| Provider Enumeration Date | 08/13/2017 |
| Last Update Date | 11/19/2019 |
| Medicare PECOS PAC ID | 8224302328 |
|---|---|
| Medicare Enrollment ID | O20170927002668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104341965 | NPI | - | NPPES |
| 500680786 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | L4423 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L4423 (Oregon) | Primary |
| Provider Name | Joann L Zumbrunnen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326376138 PECOS PAC ID: 9133493232 Enrollment ID: I20170927002732 |
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