Laurie B. Fieldman
NPI 1225402449ActiveIndividual· Social Worker, Clinical· Heppner, OR
Social Worker, Clinical with Tiffany Kettermann LLC, practicing in Heppner, Oregon. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1225402449 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 27, 2015 |
| Last updated in NPPES | Jan 21, 2021 |
| Certified by provider | Jan 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | L12054 | OR |
| Social Worker, Clinical | 1041C0700X | 149006769 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IL); Practitioner - Clinical Social Worker (OR) |
|---|
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Tiffany Kettermann LLCPortland, OR · 4 clinicians
Other clinical social workers in Heppner
- 1053749630
- 1265831747