Active NPI
Lirenda T Haak, LCSW
- Social Worker
- Redmond, OR
National Provider Identifier
1699190264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L2031
- Practice address
- 1253 NW Canal Blvd
Redmond, OR 97756-1334 - Phone
- (541) 548-8131
- NPI assigned
- Feb 19, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | L2031 | OR | Primary |
Addresses
Primary practice location
1253 NW Canal Blvd
Redmond, OR 97756-1334
Mailing address
PO Box 6096
Bend, OR 97708-6096
Phone (541) 548-8131
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 |
|---|---|---|---|
| L2031 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1699190264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6096",
"city": "BEND",
"state": "OR",
"postal_code": "977086096",
"telephone_number": "541-548-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 NW CANAL BLVD",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561334",
"telephone_number": "541-548-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAK",
"first_name": "LIRENDA",
"middle_name": "T",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "L2031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.