Active NPI
Lauren Edwards, LCSW
- Clinical Social Worker
- Lake Oswego, OR
National Provider Identifier
1295443240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L11163
- Practice address
- 4900 Meadows Rd Ste 400
Lake Oswego, OR 97035-3298 - Phone
- (503) 481-1269
- NPI assigned
- Nov 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L11163 | OR | Primary |
Addresses
Primary practice location
4900 Meadows Rd Ste 400
Lake Oswego, OR 97035-3298
Mailing address
3 Monroe Pkwy Ste P
PMB 120
Lake Oswego, OR 97035-8899
Phone (503) 481-1269
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230214001450 | OR | Practitioner - Clinical Social Worker | 3971975210 | Practice locations: Lake Oswego, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa a. L. Kouzes, DC | Past | Accepting new patients |
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.
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- Chiropractor
- Portland, OR
- NPI 1588919831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1295443240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MONROE PKWY STE P",
"address_2": "PMB 120",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970358899",
"telephone_number": "503-481-1269",
"fax_number": "503-500-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MEADOWS RD STE 400",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353298",
"telephone_number": "503-481-1269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "LAUREN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L11163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.