Individual provider Active NPI

Lynn Carroll Sterchi, LCSW

  • Clinical Social Worker
  • Roseburg, OR
National Provider Identifier
1104996362
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3875 Issued in OR
Practice address
536 NE Winchester St
Ste C
Roseburg, OR 97470-3265
Phone
(541) 580-8215
Fax
(541) 496-0456
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L3875 OR Primary

Addresses

Primary practice location

536 NE Winchester St
Ste C
Roseburg, OR 97470-3265

Mailing address

PO Box 2257
Roseburg, OR 97470-0458
Phone (541) 580-8215

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
I20120521000651 OR Practitioner - Clinical Social Worker 9335302876 Practice locations: Roseburg, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L3875ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1104996362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700458",
            "telephone_number": "541-580-8215",
            "fax_number": "541-496-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 NE WINCHESTER ST",
            "address_2": "STE C",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703265",
            "telephone_number": "541-580-8215",
            "fax_number": "541-496-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERCHI",
        "first_name": "LYNN",
        "middle_name": "CARROLL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.