Individual provider Active NPI

Darian Lea Slayton Fleming, LCSW, CRC

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1073942587
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15925 Issued in OR
Practice address
1640 SE 150TH Ave
Portland, OR 97233-3045
Phone
(503) 522-3272
Fax
(503) 961-8180
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 00068870 OR
Clinical Social Worker 1041C0700X 15925 OR Primary

Addresses

Primary practice location

1640 SE 150TH Ave
Portland, OR 97233-3045

Mailing address

1640 SE 150TH Ave
Portland, OR 97233-3045
Phone (503) 522-3272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160304000887 OR Practitioner - Clinical Social Worker 8325344179 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1640 SE 150TH Ave
Portland, OR 97233-3045
Phone (503) 522-3272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00068870ORMDCounselor
15925ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valeria Health, LLC PastSince Dec 15, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1073942587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 SE 150TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333045",
            "telephone_number": "503-522-3272",
            "fax_number": "503-961-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 SE 150TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333045",
            "telephone_number": "503-522-3272",
            "fax_number": "503-961-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYTON FLEMING",
        "first_name": "DARIAN",
        "middle_name": "LEA",
        "credential": "LCSW, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "00068870",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "15925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.