Active NPI
Anne Waterman Meneakis, LCSW
- Clinical Social Worker
- Lake Oswego, OR
National Provider Identifier
1336224864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L3157
- Practice address
- 470 2ND St Ste F
Lake Oswego, OR 97034-3199 - Phone
- (503) 349-6152
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | L3157 | OR | Primary |
Addresses
Primary practice location
470 2ND St Ste F
Lake Oswego, OR 97034-3199
Mailing address
470 2ND St Ste F
Lake Oswego, OR 97034-3199
Phone (503) 349-6152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11440182 | Other | OR | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3157 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1336224864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 2ND ST STE F",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343199",
"telephone_number": "503-349-6152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 2ND ST STE F",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343199",
"telephone_number": "503-349-6152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENEAKIS",
"first_name": "ANNE",
"middle_name": "WATERMAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L3157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11440182",
"state": "OR"
}
],
"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 Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.