Annette Faye Gilbertson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4179 Issued in OR

Practice address

708 SW Deschutes Ave Ste 3
Redmond, OR 97756-2253

Phone

(541) 408-6297

Fax

(855) 612-0578

NPI assigned

Oct 1, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Creekstone Counseling, LLC

  • Clinical Social Worker
  • Mountain View, CA
  • NPI 1720300759
  NPD (past) Authorized official

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1992039317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 SW DESCHUTES AVE STE 3",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562253",
            "telephone_number": "541-408-6297",
            "fax_number": "855-612-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 SW DESCHUTES AVE STE 3",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562253",
            "telephone_number": "541-408-6297",
            "fax_number": "855-612-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERTSON",
        "first_name": "ANNETTE",
        "middle_name": "FAYE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "4179",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23771",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Geist, RN, BSN
• Erin Hanlon Genereux, FNP
• George T Tsai MD P C
• Debbie George, RN
• Judy Naomi Gervais, LMT, AAS
• Kyle Matthew Gillett, D.C.
• Brittney Gillyard, PMHNP-BC, FNP-C
• Donna Marie Gilmore, RN
• Richard D Gilmore, D.M.D.
• Greg Michael Ginsburg, D.M.D.

• Clinical Social Worker in Redmond, OR
• Providers in Redmond, 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 Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.