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TYLER DEAN GRISSOM LCSW
NPI 1700168804
Social Worker - Clinical in Eugene, OR

Active since September 14, 2011PECOS Enrolled
1200 HILYARD ST STE 310, EUGENE, OR 97401(458) 205-6709 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Dean Grissom Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER DEAN GRISSOM LCSW (NPI 1700168804) is an individual clinical provider in Eugene, Oregon, licensed in Oregon (L7128) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700168804
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTYLER DEAN GRISSOMCredential: LCSW
Location Address1200 HILYARD ST STE 310Eugene, OR 97401-8122
Mailing Address1200 Hilyard St Ste 310Eugene, OR 97401-8122 · (458) 205-6709
Phone(458) 205-6709
Sole ProprietorNo
Enumeration DateSeptember 14, 2011
Last NPPES UpdateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1700168804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L7128
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1200 HILYARD ST STE 310, Eugene, OR 97401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Dean Grissom Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HILLARY FALBURN LCSW
Counselor (Mental Health)
1200 HILYARD ST STE 310
EUGENE, OR 97401
Lane County (458) 205-6709
LENORE BAKER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1200 HILYARD ST STE 310
EUGENE, OR 97401
Lane County (458) 205-6709
DAVID NESTOR
Social Worker
1200 HILYARD ST STE 310
EUGENE, OR 97401
Lane County (458) 205-6709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Grissom's NPI number?

The NPI number for Tyler Grissom is 1700168804. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Tyler Grissom located?

Tyler Grissom practices at 1200 Hilyard St Ste 310, Eugene, OR 97401. The listed phone number is (458) 205-6709.

What is Tyler Grissom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tyler Grissom enrolled in Medicare?

Yes. Tyler Grissom is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Grissom accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Tyler Grissom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Grissom was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.