Individual provider Active NPI

Linda Piper Dreisbach, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1831430115
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7394 Issued in OR
Practice address
300 SE Reed Market Rd Ste 220
Bend, OR 97702
Phone
(541) 419-2471
Fax
(541) 550-2272
NPI assigned
Mar 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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 L7394 OR Primary

Addresses

Primary practice location

300 SE Reed Market Rd Ste 220
Bend, OR 97702

Mailing address

PO Box 747
Bend, OR 97709-0747
Phone (541) 419-2471

Other practice location 1

709 Mission St
Santa Cruz, CA 95060-3614
Phone (831) 429-8350

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
L7394ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1831430115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090747",
            "telephone_number": "541-419-2471",
            "fax_number": "541-550-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE REED MARKET RD STE 220",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-419-2471",
            "fax_number": "541-550-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Mission St",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950603614",
            "country_code": "US",
            "telephone_number": "831-429-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREISBACH",
        "first_name": "LINDA",
        "middle_name": "PIPER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.