Individual provider Active NPI

Deborah Anne Litberg, MSW

  • Clinical Social Worker
  • Lincoln City, OR
National Provider Identifier
1639294663
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L13156 Issued in OR
Practice address
790 SE Highway 101 Ste a
Lincoln City, OR 97367-2715
Phone
(818) 262-9487
Fax
(541) 764-9086
NPI assigned
Mar 20, 2007
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS25170 CA
Clinical Social Worker 1041C0700X L13156 OR Primary

Addresses

Primary practice location

790 SE Highway 101 Ste a
Lincoln City, OR 97367-2715

Mailing address

PO Box 1003
Gleneden Beach, OR 97388-1003
Phone (818) 262-9487

Other identifiers 1

IdentifierTypeStateIssuer
CB225073MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141208000451 CA Practitioner - Clinical Social Worker 5890017537 Practice locations: Chatsworth, CA
I20220616002676 OR Practitioner - Clinical Social Worker 5890017537 Reassigns benefits to 1 organization
Practice locations: Gleneden Beach, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Gleneden Beach, OR 97388
Phone (818) 262-9487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS25170CAMDClinical Social Worker
L13156ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan North Lincoln Hospital Current Accepting new patients
Deborah Litberg PastSince Oct 13, 2014 Accepting new patients
Anmar Home Health Care Inc PastSince Nov 1, 2020 Accepting new patients

Locations

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

2870 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (503) 994-9191

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1639294663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "GLENEDEN BEACH",
            "state": "OR",
            "postal_code": "973881003",
            "telephone_number": "818-262-9487",
            "fax_number": "541-764-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 SE HIGHWAY 101 STE A",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973672715",
            "telephone_number": "818-262-9487",
            "fax_number": "541-764-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITBERG",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS25170",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L13156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB225073",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

Verify at the official NPI Registry.