Provider Demographics
NPI:1831430115
Name:DREISBACH, LINDA PIPER (LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:PIPER
Last Name:DREISBACH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 747
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97709-0747
Mailing Address - Country:US
Mailing Address - Phone:541-419-2471
Mailing Address - Fax:541-550-2272
Practice Address - Street 1:300 SE REED MARKET RD STE 220
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702
Practice Address - Country:US
Practice Address - Phone:541-419-2471
Practice Address - Fax:541-550-2272
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL73941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical