ANYSSA N HABERKORN-GOMEZ LCSW
NPI 1760039069
Social Worker - Clinical in Redmond, OR

Q: What is Anyssa Haberkorn-gomez's NPI number?

The NPI number for Anyssa Haberkorn-gomez is 1760039069. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Q: What is Anyssa Haberkorn-gomez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since August 21, 2019PECOS EnrolledAccepts Medicare Assignment

7515 FALCON CREST DR # 200, REDMOND, OR 97756(541) 904-5216(541) 527-4347 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2025, Sep 7, 2023, Mar 2, 2021 and 1 more (4 updates tracked since 2019).

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About Anyssa N Haberkorn-gomez Lcsw NPPES

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

ANYSSA N HABERKORN-GOMEZ LCSW (NPI 1760039069) is an individual clinical provider in Redmond, Oregon, licensed in Oregon (11288) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1760039069

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANYSSA N HABERKORN-GOMEZCredential: LCSW

Location Address7515 FALCON CREST DR # 200Redmond, OR 97756-5014

Mailing Address7515 Falcon Crest Dr # 200Redmond, OR 97756-5014 · (541) 316-9442

Phone(541) 904-5216

Fax(541) 527-4347

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 21, 2019

Last NPPES UpdateMay 21, 20254 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1760039069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · 11288

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.

7515 FALCON CREST DR # 200, Redmond, OR 97756

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anyssa N Haberkorn-gomez Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274908462

PECOS Enrollment IDI20230330002455

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 97756 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 20

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

BRITTNEY GILLYARD PMHNP-BC, FNP-C

Nurse Practitioner (Psychiatric/Mental Health)