Individual provider Active NPI

Sherry Lee Liebe, MSW, CSWA

  • Social Worker
  • Redmond, OR
National Provider Identifier
1679874176
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
A13200 Issued in OR
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
195164MedicaidOR

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
A13200ORMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fresenius Medical Care Dialysis Services - Oregon, LLC CurrentSince Jun 12, 2022 Accepting new patients
Fresenius Medical Care Dialysis Services - Oregon, LLC PastSince Jun 12, 2022 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.

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.

Verify at the official NPI Registry.