Active NPI
Sherry Lee Liebe, MSW, CSWA
- Social Worker
- Redmond, OR
National Provider Identifier
1679874176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- A13200
- Practice address
- 916 SW 17TH St Suite 100
916 SW 17TH St Suite 100
Redmond, OR 97756 - Phone
- (541) 547-2778
- Fax
- (541) 548-1106
- NPI assigned
- Nov 15, 2010
- Last updated
- Jun 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | A13200 | OR | Primary |
Addresses
Primary practice location
916 SW 17TH St Suite 100
916 SW 17TH St Suite 100
Redmond, OR 97756
Mailing address
5450 NW Odin Falls Way
Redmond, OR 97756-7940
Phone (503) 369-9332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195164 | Medicaid | OR |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | REDMOND | Other | |
| CONNECT URL | fmcna.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A13200 | OR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresenius Medical Care Dialysis Services - Oregon, LLC | Current | Accepting new patients | |
| Fresenius Medical Care Dialysis Services - Oregon, LLC | Past | Accepting new patients |
Locations
916 SW 17th St
Ste 100
Redmond, OR 97756
Phone (541) 547-2778
Organizations & group practices 4
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Hillsboro, OR
- NPI 1902201361
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Hillsboro, OR
- NPI 1134589096
-
dba Fresenius Medical Care Redmond
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Redmond, OR
- NPI 1306943790
-
dba Fresenius Kidney Care West Eugene
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Eugene, OR
- NPI 1992283170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1679874176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 NW ODIN FALLS WAY",
"city": "REDMOND",
"state": "OR",
"postal_code": "977567940",
"telephone_number": "503-369-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 SW 17TH ST SUITE 100",
"address_2": "916 SW 17TH ST SUITE 100",
"city": "REDMOND",
"state": "OR",
"postal_code": "97756",
"telephone_number": "541-547-2778",
"fax_number": "541-548-1106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBE",
"first_name": "SHERRY",
"middle_name": "LEE",
"credential": "MSW, CSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-15",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "A13200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195164",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "REDMOND",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "REDMOND",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "REDMOND",
"address_1": "916 SW 17th ST Suite 100",
"address_2": "916 SW 17TH ST SUITE 100",
"city": "REDMOND",
"state": "OR",
"country_code": "US",
"postal_code": "97756",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "fmcna.com",
"affiliation": "N",
"endpointDescription": "fresenius medical care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "916 SW 17th ST Suite 100",
"address_2": "916 SW 17TH ST SUITE 100",
"city": "REDMOND",
"state": "OR",
"country_code": "US",
"postal_code": "97756",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.