Lina Soares, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LINA SOARES, LCSW, LLC

Practice address

636 SW 2ND St
Corvallis, OR 97333-4442

Phone

(541) 230-8497

Fax

(541) 600-3330

NPI assigned

May 22, 2020

Last updated

May 6, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lina H Soares, MSW, LCSWNPI 1780211359

Title

Owner

Phone

(541) 230-8497

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lina Soares, LCSW, MSW

  • Clinical Social Worker
  • Corvallis, OR
  • NPI 1780211359
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1841813946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SW BROOKLANE DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331627",
            "telephone_number": "541-230-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SW 2ND ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334442",
            "telephone_number": "541-230-8497",
            "fax_number": "541-600-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1923 SW Brooklane Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973331627",
            "country_code": "US",
            "telephone_number": "541-230-8497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINA SOARES, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "SOARES",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-230-8497",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Lien
• Christopher Jason Lieuw, MS, ATC
• Tyler J Light
• Brandon Stephen Lime
• Jason Seitetsu Lin, M.D.
• Roberto William Linares, RPH
• Matthew Steven Lind
• Matthew L Lindberg, M.D.
• Brian Matthew Lindenmuth
• Rachel Lindholm

• Clinical Social Worker in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.