Jennifer M Beckley Hays, LCSW
Individual provider Active NPI Clinical Social Worker · Portland, OR
NPI 1154897874 · NPPES record last updated Feb 28, 2022
Key facts
- NPI
- 1154897874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L2810 (OR)
- Practice address
- 9450 SW Barnes Rd Ste 200
Portland, OR 97225-6638 - Phone
- (971) 345-5060
- NPI assigned
- Oct 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mental Health Specialty Group PA
Practice addresses (Care Compare)
Terrebonne, OR 97760
Phone (323) 205-7088
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210312001787 | OR | Practitioner - Clinical Social Worker | 7012323298 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2810 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current |
Accepting new patients | |
| Providence Health & Services Oregon | Current |
Accepting new patients | |
| Providence Health & Services Oregon | Current |
Accepting new patients | |
| Urban Counseling Collective LLC | Past | Accepting new patients |
Locations
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L2810 | OR | Yes |
Addresses
Primary practice location
9450 SW Barnes Rd Ste 200
Portland, OR 97225-6638
Mailing address
PO Box 3395
Portland, OR 97208-3395
Phone (503) 215-6023
Other providers in Portland, OR
- Catherine Beckett
- Lauren Nicole Beckett
- Sarka Beckett
- Kellan Beckham
- Carlee Anne Beckler
- Ethan Beckley
- Michael Alan Becklund
- Kayla Beckman
- Mary Elyse Beckman
- Morgyn Beckman
All providers in Portland, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.