Amber Jo Hatt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3720 Issued in OR

Practice address

5247 N Haight Ave
Portland, OR 97217-2701

Phone

(971) 678-9460

NPI assigned

Sep 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1093964314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 N HAIGHT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172701",
            "telephone_number": "971-678-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5247 N HAIGHT AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172701",
            "telephone_number": "971-678-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATT",
        "first_name": "AMBER",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill L. Hathaway, LAC
• Mark Allen Hathaway
• Nicole Christine Hathaway, MA, CCC-SLP
• Norma Hathaway, RN
• Sharon M Hatrak
• Alberta Koch Hattem, PHD
• Barbara D. Hatten, M.S., R.D.
• Kelly Dawn Hattershide
• Crystal Lynn Lokalani Hatton
• Greta Hau

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.