MISS LUPITA PENA-BALTAZAR QMHA
NPI 1104050947
Social Worker - Clinical in Woodburn, OR

Active since May 07, 2009PECOS Enrolled
1310 MERIDIAN DR, WOODBURN, OR 97071(503) 953-0310(503) 386-0439 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Lupita Pena-baltazar Qmha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS LUPITA PENA-BALTAZAR QMHA (NPI 1104050947) is an individual clinical provider in Woodburn, Oregon, licensed in Oregon (L10733) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104050947
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS LUPITA PENA-BALTAZARCredential: QMHA
Location Address1310 MERIDIAN DRWoodburn, OR 97071-9668
Mailing Address7515 Falcon Crest Dr # 200Redmond, OR 97756-5014 · (541) 904-5216 · Fax (541) 527-4347
Fax(503) 386-0439
Sole ProprietorNo
Enumeration DateMay 7, 2009
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
NPI 1104050947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L10733
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1310 MERIDIAN DR, Woodburn, OR 97071

Other Names 1

Former Name (1)Lupita Pena Lcsw

Other Identifiers 1

OtherL10733Oregon Board Of Licensed Social Workers

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Lupita Pena-baltazar Qmha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Prosthetic/Orthotic Supplier
1310 MERIDIAN DR, SUITE B-1
WOODBURN, OR 97071
Counselor (Mental Health)
1310 MERIDIAN DR
WOODBURN, OR 97071
Counselor (Professional)
1310 MERIDIAN DR
WOODBURN, OR 97071
Counselor (Professional)
1310 MERIDIAN DR
WOODBURN, OR 97071
Social Worker (Clinical)
1310 MERIDIAN DR
WOODBURN, OR 97071
Counselor (Professional)
1310 MERIDIAN DR
WOODBURN, OR 97071
Social Worker (Clinical)
1310 MERIDIAN DR
WOODBURN, OR 97071
Counselor (Professional)
1310 MERIDIAN DR
WOODBURN, OR 97071

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104050947, enumerated as an "individual" on May 07, 2009.

The provider is located at 1310 MERIDIAN DR WOODBURN, OR 97071 and the phone number is (503) 953-0310.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to verify.