Active NPI
Libby R Mattson, MSW
- Social Worker
- Lake Oswego, OR
National Provider Identifier
1063199537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 5200 Meadows Rd Ste 200
Lake Oswego, OR 97035-0086 - Phone
- (503) 345-3260
- Fax
- (503) 345-3052
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | OR | Primary |
Addresses
Primary practice location
5200 Meadows Rd Ste 200
Lake Oswego, OR 97035-0086
Mailing address
1700 SE Kenwood Dr
Blue Springs, MO 64014-4214
Phone (816) 977-9037
Other names 1
- L Mattson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1063199537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 SE KENWOOD DR",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640144214",
"telephone_number": "816-977-9037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 MEADOWS RD STE 200",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970350086",
"telephone_number": "503-345-3260",
"fax_number": "503-345-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTSON",
"first_name": "LIBBY",
"middle_name": "R",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "L",
"last_name": "MATTSON",
"credential": "MSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.