Viebeck, Karissa L
Viebeck, Karissa L is an sole proprietor health care provider with primary practice located at 51340 Highway 97 , La Pine OR 97739-9871. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Viebeck, Karissa L can be contacted via phone (541) 322-7500.Contact Information
Primary practice address
51340 Highway 97
La Pine OR 97739-9871
Phone: (541) 322-7500
Fax: (541) 322-7565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L8551 | Oregon |
Profile Details
| NPI number | 1033644307 |
|---|---|
| LBN Legal business name | Viebeck, Karissa L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2017 |
| Last updated | Mar 10th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033644307 | NPPES |
| Oregon | MEDICAID | 500724776 |
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