Active NPI
Anne Hovland, LCSW
- Clinical Social Worker
- Corvallis, OR
National Provider Identifier
1124387592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L3458
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500646073 | Medicaid | OR |
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.