Individual provider Active NPI

Audrey Anne Lipskey, LCSW

  • Clinical Social Worker
  • Redmond, OR
National Provider Identifier
1457862914
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7208 Issued in OR
Practice address
258 SW 5TH St Ste 2
Redmond, OR 97756-2150
Phone
(458) 836-8288
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 L7208 OR Primary

Addresses

Primary practice location

258 SW 5TH St Ste 2
Redmond, OR 97756-2150

Mailing address

258 SW 5TH St Ste 2
Redmond, OR 97756-2150
Phone (458) 836-8288

Other names 1

  • Ms. Audrey Anne Lane 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
I20211202000314 OR Practitioner - Clinical Social Worker 2365700135 Practice locations: Redmond, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

258 SW 5TH St
Suite 2B
Redmond, OR 97756-2150
Phone (458) 836-8288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audrey Lipskey Counseling Clinical CurrentSince Sep 9, 2021 Accepting new patients

Locations

124 SW 8th St
Redmond, OR 97756
Phone (541) 279-5781

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1457862914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 SW 5TH ST STE 2",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562150",
            "telephone_number": "458-836-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 SW 5TH ST STE 2",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562150",
            "telephone_number": "458-836-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSKEY",
        "first_name": "AUDREY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "LANE",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.