Lisa A Lieberman, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW1473 Issued in OR

Practice address

15100 Boones Ferry Rd
Suite 750a
Lake Oswego, OR 97035-3469

Phone

(503) 697-5956

Fax

(503) 635-9127

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093738627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 BOONES FERRY RD",
            "address_2": "SUITE 750A",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353469",
            "telephone_number": "503-697-5956",
            "fax_number": "503-635-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 BOONES FERRY RD",
            "address_2": "SUITE 750A",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353469",
            "telephone_number": "503-697-5956",
            "fax_number": "503-635-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "LCSW1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Blaine Lewis, M.D.
• Sherikha Chermaine Lewis, LMT, ND
• Stephanie Michelle Lewis
• Sue A Lewis, MD
• Bing Li
• Lifestyle Nutrition Counseling, LLC
• Veronica Lim, LCSW, MPH
• Linda C Estergard, PHD, LCSW, PC
• Courtney Lindsey, MOT
• Judith Ann Lindsey, M.D.

• Clinical Social Worker in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.