Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeff P Koeppel, LCSW

Individual provider Clinical Social Worker · NPI 1235298696

Mr. Jeff P Koeppel, LCSW is a Clinical Social Worker in Cottage Grove, Oregon. Graduated from Berkeley Northeastern State University - College of Medicine in 1997, 29 years ago. Practices with South Lane Mental Health Services, Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
29
Trained at
Berkeley Northeastern State University - College of Medicine
Licensed in
OR
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

410 N 9th St
Cottage Grove, OR 97424-1307
Phone: (541) 942-2850
Fax: (541) 942-1574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L3908 (OR)

Record details

NPI number1235298696
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 8, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolBERKELEY NORTHEASTERN STATE UNIVERSITY - COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice South Lane Mental Health Services, Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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