Active NPI
Lindsay Nicole Merritt, PHD, LCSW
- Clinical Social Worker
- Winston, OR
National Provider Identifier
1346913050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L12220
- Practice address
- 671 SW Main St
Winston, OR 97496-6571 - Phone
- (541) 492-4550
- Fax
- (541) 492-4556
- NPI assigned
- Jul 28, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR | ||
| Clinical Social Worker | 1041C0700X | OR | ||
| Clinical Social Worker | 1041C0700X | L12220 | OR | Primary |
Addresses
Primary practice location
671 SW Main St
Winston, OR 97496-6571
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 672-2691
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 |
|---|---|---|---|---|
| I20251022002031 | OR | Practitioner - Clinical Social Worker | 2961990908 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adapt
Practice addresses (Care Compare)
671 SW Main St
Winston, OR 97496-6571
Phone (541) 492-4550
PO Box
Suite 12
Winston, OR 97496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L12220 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adapt | Current | Accepting new patients | |
| Adapt | Current | Accepting new patients | |
| Adapt | Mental Health | Current | Accepting new patients |
| Dr Anna LLC | Current | Accepting new patients |
Locations
621 W Madrone St
Roseburg, OR 97470
Phone (541) 440-3571
548 SE Jackson St
Roseburg, OR 97470
Phone (541) 492-0241
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Roseburg, OR
- NPI 1184350811
-
- Federally Qualified Health Center (FQHC)
- Bandon, OR
- NPI 1194529289
-
- Addiction (Substance Use Disorder) Counselor
- North Bend, OR
- NPI 1497248025
-
- Federally Qualified Health Center (FQHC)
- Roseburg, OR
- NPI 1750975553
-
- Federally Qualified Health Center (FQHC)
- Roseburg, OR
- NPI 1861967648
-
- Federally Qualified Health Center (FQHC)
- Winston, OR
- NPI 1912061755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1346913050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1121",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974700254",
"telephone_number": "541-672-2691",
"fax_number": "833-299-8415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 SW MAIN ST",
"city": "WINSTON",
"state": "OR",
"postal_code": "974966571",
"telephone_number": "541-492-4550",
"fax_number": "541-492-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "LINDSAY",
"middle_name": "NICOLE",
"credential": "PHD, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L12220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.