Provider Demographics
NPI:1457862914
Name:LIPSKEY, AUDREY ANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:ANNE
Last Name:LIPSKEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:AUDREY
Other - Middle Name:ANNE
Other - Last Name:LANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:258 SW 5TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-2150
Mailing Address - Country:US
Mailing Address - Phone:458-836-8288
Mailing Address - Fax:
Practice Address - Street 1:258 SW 5TH ST STE 2
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2150
Practice Address - Country:US
Practice Address - Phone:458-836-8288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL72081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical