Individual provider Active NPI

Lisa Anne Ripperton, LCSW, LCAS

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1700936648
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L16759 Issued in OR
Practice address
1233 Edgewater St NW Ste B
Salem, OR 97304-4049
Phone
(503) 378-7526
Fax
(503) 480-1611
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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 L16759 OR Primary

Addresses

Primary practice location

1233 Edgewater St NW Ste B
Salem, OR 97304-4049

Mailing address

1233 Edgewater St NW Ste B
Salem, OR 97304-4049
Phone (503) 378-7526

Other names 1

  • Lisa Anne Poirier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, 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
I20120525000161 NC Practitioner - Clinical Social Worker 3476716622 Reassigns benefits to 1 organization
I20251104004126 OR Practitioner - Clinical Social Worker 3476716622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Human Services IncGroup PAC ID 7012825797, 33 clinicians

Practice addresses (Care Compare)

1233 Edgewater St NW
Salem, OR 97304-4049
Phone (503) 378-7526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L16759ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Health Services Inc Current Accepting new patients
Northwest Human Services, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Northwest Human Services, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Rha Health Services, Inc CurrentSince Mar 27, 2017 Accepting new patients
Rha Health Services Inc CurrentSince Mar 27, 2017 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

486 Spaulding Rd
#B
Marion, NC 28752
Phone (828) 652-2919

180 Atwater St N
Monmouth, OR 97361
Phone (503) 378-7526

1233 Edgewater St NW
Ste B
Salem, OR 97304
Phone (503) 378-7526

1233 Edgewater St NW
Salem, OR 97304
Phone (503) 378-7526

Organizations & group practices 8

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1700936648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 EDGEWATER ST NW STE B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044049",
            "telephone_number": "503-378-7526",
            "fax_number": "503-480-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 EDGEWATER ST NW STE B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044049",
            "telephone_number": "503-378-7526",
            "fax_number": "503-480-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPERTON",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "POIRIER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.