Individual provider Active NPI

Amy R. Foster-Wexler, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1558155952
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4733 Issued in OR
Practice address
62950 Fresca St
Bend, OR 97703-1581
Phone
(541) 280-3766
NPI assigned
Apr 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 L4733 OR Primary

Addresses

Primary practice location

62950 Fresca St
Bend, OR 97703-1581

Mailing address

62950 Fresca St
Bend, OR 97703-1581
Phone (541) 280-3766

Other names 1

  • Miss Amy R. Foster 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
I20260210000380 OR Practitioner - Clinical Social Worker 4981183092 Practice locations: Bend, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

711 NE Irving Ave
Suite a
Bend, OR 97701-4738
Phone (541) 280-5021

711 NE Irving Ave a
Bend, OR 97701-4738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L4733ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1558155952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62950 FRESCA ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031581",
            "telephone_number": "541-280-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62950 FRESCA ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031581",
            "telephone_number": "541-280-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER-WEXLER",
        "first_name": "AMY",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FOSTER",
            "middle_name": "R.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.