Individual provider Active NPI

Abigail Liebing, LSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1861154809
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A14219 Issued in OR
Practice address
1525 Echo Hollow Rd
Eugene, OR 97402-5801
Phone
(541) 607-1430
NPI assigned
Oct 7, 2021
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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 A14219 OR Primary

Addresses

Primary practice location

1525 Echo Hollow Rd
Eugene, OR 97402-5801

Mailing address

3950 Goodpasture Loop Apt J132
Eugene, OR 97401-1428

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
A14219ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bethel Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abigail.liebing.p1@direct.meridianhs.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1861154809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 GOODPASTURE LOOP APT J132",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 ECHO HOLLOW RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025801",
            "telephone_number": "541-607-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBING",
        "first_name": "ABIGAIL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A14219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.