Active NPI
Hanson Ellis Davenport Kriegel, CSWA, MSW
- Social Worker
- Gresham, OR
National Provider Identifier
1265213789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- A14435
- Practice address
- 2951 NW Division St Ste 165
Gresham, OR 97030-5295 - Phone
- (971) 220-2496
- NPI assigned
- Oct 10, 2023
- Last updated
- Oct 31, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | A14435 | OR | Primary |
Addresses
Primary practice location
2951 NW Division St Ste 165
Gresham, OR 97030-5295
Mailing address
2951 NW Division St Ste 165
Gresham, OR 97030-5295
Phone (971) 220-2496
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14435 | OR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C.H.E.R.I.I.S.H. Counseling LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Gresham, OR
- NPI 1972065571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1265213789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 NW DIVISION ST STE 165",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305295",
"telephone_number": "971-220-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 NW DIVISION ST STE 165",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305295",
"telephone_number": "971-220-2496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEGEL",
"first_name": "HANSON",
"middle_name": "ELLIS DAVENPORT",
"credential": "CSWA, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "A14435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.