Li Lin Hally, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5384 Issued in OR

Practice address

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

Phone

(503) 267-4786

NPI assigned

Aug 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Li Lin Hilliard Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abri Radically Open DBT LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1124583786
  NPD (past) Authorized official

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1285982967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SW YAMHILL ST",
            "address_2": "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",
            "address_2": "STE 345",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041335",
            "telephone_number": "503-267-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLY",
        "first_name": "LI LIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "5384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LI LIN",
            "last_name": "HILLIARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Ann Hallman, LCSW
• Hallmark Opticians
• Laurel Katherine Hallock Koppelman, FNP-C
• Andrea Hallock, LMT
• Mark Anthony Halloran Jr., PSS CRM QMHAR CADCR
• Margo A Halm, PHD, RN, NEA-BC, FAA
• Loren Halman, MA
• Patrick Michael Halmer, PHARMD
• Halmos & Manning LLC
• David Robert Halmos, D.M.D

• 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 Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.