| Karissa L Viebeck, LCSW | |
| 
					51340 Highway 97, La Pine, OR 97739-9871  | |
| (541) 322-7500 | |
| (541) 322-7565 | 
| Full Name | Karissa L Viebeck | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 51340 Highway 97, La Pine, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033644307 | NPI | - | NPPES | 
| 500724776 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L8551 (Oregon) | Primary | 
| Entity Name | Deschutes County Oregon | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235172180 PECOS PAC ID: 9638083371 Enrollment ID: O20031117000568  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Karissa L Viebeck, LCSW 2577 Ne Courtney Dr, Bend, OR 97701-7638 Ph: (541) 322-7500  | Karissa L Viebeck, LCSW 51340 Highway 97, La Pine, OR 97739-9871 Ph: (541) 322-7500  | 
Mr. Dustyn Ryan Putzier, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 51781 Huntington Rd, La Pine, OR 97739 Phone: 541-907-7040 Fax: 541-907-7059  | |
Claudine M Walker, LCSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 51340 Highway 97, La Pine, OR 97739 Phone: 541-322-7500 Fax: 541-322-7565  | |
Cynthia Diane Hanley, QMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 51600 Huntington Rd Ste 101, La Pine, OR 97739 Phone: 541-536-3435 Fax: 541-536-8047  |