Abri Radically Open DBT LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ABRI RADICALLY OPEN DBT LLC

Practice address

520 SW Yamhill St Ste 345
Portland, OR 97204-1335

Phone

(503) 267-4786

NPI assigned

Feb 7, 2019

Organization subpart

No

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

Authorized official

Name

Li Lin Hally, LCSWNPI 1285982967

Title

Clinical Director

Phone

(503) 267-4786

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Li Lin Hally, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1285982967
  NPD (past) Authorized official

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1124583786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SW YAMHILL ST STE 345",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041335",
            "telephone_number": "503-267-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SW YAMHILL ST STE 345",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041335",
            "telephone_number": "503-267-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRI RADICALLY OPEN DBT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "HALLY",
        "authorized_official_first_name": "LI LIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "503-267-4786",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Abram
• Janice Logan Abramovitz, RN
• Sarah Abramovitz
• Rebecca A Abrams, LMT
• Enrique A Abreu, DO
• Taylor Abrigo
• Thomas Lee Abshier, N.D.
• Absolute Balance Bodywork LLC
• Fabienne Abt
• Alaa Abu Hammattah

• 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 Feb 7, 2019; 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.