Individual provider Active NPI

Hailey E Lauer, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1346645975
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10348 Issued in OR
Practice address
6504 NE Siskiyou St
Portland, OR 97213-4572
Phone
(971) 317-5719
NPI assigned
Oct 24, 2014
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L10348 OR Primary

Addresses

Primary practice location

6504 NE Siskiyou St
Portland, OR 97213-4572

Mailing address

6504 NE Siskiyou St
Portland, OR 97213-4572

Other practice location 1

507 NE 47th Ave Ste 1020
Portland, OR 97213-2236
Phone (503) 215-6168

Other practice location 2

5228 NE Hoyt St
Portland, OR 97213-3055
Phone (503) 215-6494

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201210002746 OR Practitioner - Clinical Social Worker 7012329378 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jul 5, 2022 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 5, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 5, 2022 Accepting new patients
Volunteers of America Inc. Past Accepting new patients

Locations

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

507 NE 47th Ave
Ste 1020
Portland, OR 97213
Phone (503) 215-6168

507 NE 47th Ave
Ste 102D
Portland, OR 97213
Phone (503) 215-6168

5228 NE Hoyt St
Bldg B
Portland, OR 97213
Phone (503) 215-4860

9155 SW Barnes Rd
Ste 333
Portland, OR 97225
Phone (503) 216-2028

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1346645975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 NE SISKIYOU ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 NE SISKIYOU ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134572",
            "telephone_number": "971-317-5719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 NE 47th Ave Ste 1020",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972132236",
            "country_code": "US",
            "telephone_number": "503-215-6168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5228 NE Hoyt St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972133055",
            "country_code": "US",
            "telephone_number": "503-215-6494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUER",
        "first_name": "HAILEY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.