Individual provider Active NPI

Lindsey Amelia Weber

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1700535432
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A13137 Issued in OR
Practice address
1020 SW Taylor St Ste 500
Portland, OR 97205-2574
Phone
(503) 476-1093
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 A13137 OR Primary

Addresses

Primary practice location

1020 SW Taylor St Ste 500
Portland, OR 97205-2574

Mailing address

1020 SW Taylor St Ste 500
Portland, OR 97205-2574
Phone (503) 476-1093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 3, 2025 through Jan 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A13137ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Presence Counseling LLC Clinical CurrentSince Jun 16, 2024 Accepting new patients

Locations

1020 SW Taylor St
Ste 500
Portland, OR 97205
Phone (503) 476-1093

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1700535432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052574",
            "telephone_number": "503-476-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052574",
            "telephone_number": "503-476-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "LINDSEY",
        "middle_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A13137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.