Individual provider Active NPI

Anne Hovland, LCSW

  • Clinical Social Worker
  • Corvallis, OR
National Provider Identifier
1124387592
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3458 Issued in OR
Practice address
4185 SW Research Way
Corvallis, OR 97333-1783
Phone
(541) 257-5500
NPI assigned
May 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L3458 OR Primary

Addresses

Primary practice location

4185 SW Research Way
Corvallis, OR 97333-1783

Mailing address

4185 SW Research Way
Corvallis, OR 97333-1783
Phone (541) 257-5500

Other practice location 1

1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4662

Other practice location 2

3572 NW Satinwood St
Corvallis, OR 97330-3736
Phone (541) 207-7907

Other identifiers 1

IdentifierTypeStateIssuer
500646073MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1124387592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 SW RESEARCH WAY",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331783",
            "telephone_number": "541-257-5500",
            "fax_number": "541-286-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 SW RESEARCH WAY",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331783",
            "telephone_number": "541-257-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3572 NW Satinwood St",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303736",
            "country_code": "US",
            "telephone_number": "541-207-7907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOVLAND",
        "first_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500646073",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.