Annalisa Nicole Ivey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3470 Issued in OR

Practice address

825 Monroe St Ste 1
Eugene, OR 97402-5176

Phone

(541) 729-1972

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1376695296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 COLONY OAKS DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974056257",
            "telephone_number": "541-729-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MONROE ST STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025176",
            "telephone_number": "541-729-1972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 W 25th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974051663",
            "country_code": "US",
            "telephone_number": "541-343-9706 x136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVEY",
        "first_name": "ANNALISA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itensive Treatment Services
• Ivan P Paskalev DMD PC
• Duane B Iversen, PT
• Paige Margarete Iverson
• Rachel Iverson
• Elizabeth Jean Ivie, PHD
• Mariana Ivie, RN
• Gregory Lee Ivy, RN
• Laura Elizabeth Ivy, LCSW
• Jessica Jolene Patricia Izsak

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.

Verify at the official NPI Registry.