Individual provider Active NPI

Liana Whiteley, LCSW

  • Clinical Social Worker
  • Redmond, OR
National Provider Identifier
1083915490
Registry record updated Dec 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8451 Issued in OR
Practice address
215 SW 7TH St
Redmond, OR 97756-2113
Phone
(541) 388-8459
NPI assigned
Nov 16, 2010
Last updated
Dec 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 75764 CA
Clinical Social Worker 1041C0700X L8451 OR Primary

Addresses

Primary practice location

215 SW 7TH St
Redmond, OR 97756-2113

Mailing address

PO Box 542
Bend, OR 97709-0542
Phone (458) 207-6286

Other practice location 1

8750 Mountain Blvd
Oakland, CA 94605-4500
Phone (510) 317-1444

Other practice location 2

150 SW 4th St
Redmond, OR 97756-1838
Phone (458) 899-4769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • 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
I20201209002544 OR Practitioner - Clinical Social Worker 2062824436 Practice locations: Redmond, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 SW 4TH St
Redmond, OR 97756-1838
Phone (510) 849-7690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75764CAMDClinical Social Worker
L8451ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Bright Counseling and Consulting LLC Clinical CurrentSince Sep 1, 2022 Accepting new patients
The Redmond Family Medicine Center CurrentSince Oct 1, 2023 Accepting new patients
Bright Horizons Psychiatric Group LLC PastSince Mar 6, 2022 Accepting new patients

Locations

150 SW 4th St
Redmond, OR 97756
Phone (458) 899-4769

215 SW 7th St
Redmond, OR 97756
Phone (541) 316-2277

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1083915490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090542",
            "telephone_number": "458-207-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SW 7TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562113",
            "telephone_number": "541-388-8459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8750 Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946054500",
            "country_code": "US",
            "telephone_number": "510-317-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 SW 4th St",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561838",
            "country_code": "US",
            "telephone_number": "458-899-4769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITELEY",
        "first_name": "LIANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75764",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.