Individual provider Active NPI

Susan M. Lutzke-Hoff, LCSW

  • Clinical Social Worker
  • Milwaukie, OR
National Provider Identifier
1487046108
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6083 Issued in OR
Practice address
6901 SE Lake Rd Ste 27
Milwaukie, OR 97267-2195
Phone
(971) 246-4665
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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 L6083 OR Primary

Addresses

Primary practice location

6901 SE Lake Rd Ste 27
Milwaukie, OR 97267-2195

Mailing address

6901 SE Lake Rd Ste 27
Milwaukie, OR 97267-2195
Phone (541) 292-7205

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

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Woods Counseling LLC Current Accepting new patients

Locations

6901 SE Lake Rd
Ste 27
Portland, OR 97267
Phone (503) 358-6743

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1487046108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SE LAKE RD STE 27",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672195",
            "telephone_number": "541-292-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SE LAKE RD STE 27",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672195",
            "telephone_number": "971-246-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZKE-HOFF",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.