Individual provider Active NPI

Lydia D. Byhardt Bollinger, L.C.S.W.

  • Clinical Social Worker
  • West Linn, OR
National Provider Identifier
1144381682
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3452 Issued in OR
Practice address
1880 Willamette Falls Dr Ste 220
West Linn, OR 97068-4655
Phone
(971) 409-5613
Fax
(971) 925-4885
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 3452 OR Primary

Addresses

Primary practice location

1880 Willamette Falls Dr Ste 220
West Linn, OR 97068-4655

Mailing address

1880 Willamette Falls Dr Ste 220
West Linn, OR 97068-4655
Phone (971) 409-5613

Other identifiers 1

IdentifierTypeStateIssuer
3452OtherORLCSW

Other names 1

  • Lydia D Byhardt Former name

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
I20111209000341 OR Practitioner - Clinical Social Worker 1759556350 Practice locations: West Linn, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1880 Willamette Falls Dr
Suite 220
West Linn, OR 97068-4655
Phone (971) 409-5613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3452ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Counseling & Consultation Services, LLC CurrentSince Jan 21, 2024 Accepting new patients

Locations

1609 Willamette Falls Dr
West Linn, OR 97068
Phone (503) 320-9190

Organizations & group practices 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1144381682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 WILLAMETTE FALLS DR STE 220",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684655",
            "telephone_number": "971-409-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 WILLAMETTE FALLS DR STE 220",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684655",
            "telephone_number": "971-409-5613",
            "fax_number": "971-925-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYHARDT BOLLINGER",
        "first_name": "LYDIA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "3452",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "BYHARDT",
            "middle_name": "D",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.