Individual provider Active NPI

Lisa Ann Solterbeck, MSW

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1770735664
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A1717 Issued in OR
Practice address
456 Court St NE
Salem, OR 97301-3638
Phone
(503) 507-9653
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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 A1717 OR Primary

Addresses

Primary practice location

456 Court St NE
Salem, OR 97301-3638

Mailing address

456 Court St NE
Salem, OR 97301-3638
Phone (503) 507-9653

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, 2020 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A1717ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiration & Associates Inc Current Accepting new patients
Lisa Solterbeck PC Dba Journeys...a Center for Your Soul Clinical Current Accepting new patients

Organizations & group practices 2

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1770735664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 COURT ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013638",
            "telephone_number": "503-507-9653",
            "fax_number": "503-990-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 COURT ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013638",
            "telephone_number": "503-507-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTERBECK",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A1717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.