Individual provider Active NPI

Rebecca L. Niemeyer, LCSW

  • Clinical Social Worker
  • Hillsboro, OR
National Provider Identifier
1083895551
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8058 Issued in OR
Practice address
335 SE 8TH Ave
Hillsboro, OR 97123
Phone
(503) 681-1111
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L8058 OR Primary
Clinical Social Worker 1041C0700X 992754 CO

Addresses

Primary practice location

335 SE 8TH Ave
Hillsboro, OR 97123

Mailing address

347 Fairview St
Silverton, OR 97381-1916
Phone (503) 681-1111

Other practice location 1

1375 E 20th Ave
Denver, CO 80205-5422
Phone (303) 338-4545

Other identifiers 2

IdentifierTypeStateIssuer
017282OtherKAISER COMMERCIAL NUMBER
77031326MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191002002788 OR Practitioner - Clinical Social Worker 4385714336 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
992754COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Dec 20, 2021 Accepting new patients
Tuality Healthcare Current Accepting new patients
Legacy Meridian Park Hospital CurrentSince Oct 8, 2021 Accepting new patients
Tuality Medical Group LLC CurrentSince Aug 4, 2019 Accepting new patients
Silverton Health CurrentSince Dec 20, 2021 Accepting new patients
Tuality Medical Group LLC CurrentSince Aug 4, 2019 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Meridian Park Hospital Past Accepting new patients

Locations

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

250 W Marquam St
Mount Angel, OR 97362
Phone (503) 845-2000

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1083895551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 FAIRVIEW ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811916",
            "telephone_number": "503-681-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 SE 8TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97123",
            "telephone_number": "503-681-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 E 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802055422",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEMEYER",
        "first_name": "REBECCA",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8058",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "017282",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77031326",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.