Danit Lidor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10959 Issued in OR

Practice address

3115 NE Sandy Blvd Ste 225
Portland, OR 97232-2777

Phone

(971) 407-3930

NPI assigned

Sep 9, 2022

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

Electronic endpoints 2

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: danit.lidor.1@28621.direct.athenahealth.com

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.

• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Eugene, OR
  • NPI 1316717747
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Beaverton, OR
  • NPI 1225890460
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1497476113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 NW HOYT ST STE 407",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092787",
            "telephone_number": "503-433-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 NE SANDY BLVD STE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322777",
            "telephone_number": "971-407-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDOR",
        "first_name": "DANIT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@awakenedheartpdx.com",
            "affiliation": "N",
            "address_1": "3115 NE Sandy Blvd Ste 225",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972322777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@awakenedheartpdx.com",
            "affiliation": "N",
            "address_1": "3115 NE Sandy Blvd Ste 225",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972322777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen H Lickteig, MD
• Michelle Anne Licudine
• Jeff Lynn Liddell, LCSW
• Lindsay L Liddell
• Julie Liddicoat, CHN
• Danielle Ellen Lieb-Foley, MA, MFT, ATR
• Thomas F Lieb, M.D.
• Percival Alioth Liebat
• Erich Clair Lieberknecht, DC
• David Lieberman, M.D.

• Clinical Social Worker in Portland, OR
• Providers in Portland, 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 Sep 9, 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.
• 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.

Verify at the official NPI Registry.