Active NPI
Ashley Marie Hayes, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1427466622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L14844
- Practice address
- 10260 SW Greenburg Rd FL 4
Portland, OR 97223-5500 - Phone
- (646) 453-6777
- Fax
- (929) 596-7897
- NPI assigned
- Jul 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801096870 | MI | |
| Clinical Social Worker | 1041C0700X | L14844 | OR | Primary |
Addresses
Primary practice location
10260 SW Greenburg Rd FL 4
Portland, OR 97223-5500
Mailing address
10260 SW Greenburg Rd FL 4
Portland, OR 97223-5500
Phone (646) 453-6777
Other practice location 1
13213 E 14 Mile Rd
Sterling Heights, MI 48312-6302
Phone (586) 939-4374 ext. 1513
Other practice location 2
585 Jewett Rd
Mason, MI 48854-8729
Phone (517) 676-5405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801096870 | Other | MI | STATE LICENSE |
| L14844 | Other | OR | STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801096870 | MI | MD | Social Worker |
| L14844 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1427466622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10260 SW GREENBURG RD FL 4",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972235500",
"telephone_number": "646-453-6777",
"fax_number": "929-596-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10260 SW GREENBURG RD FL 4",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972235500",
"telephone_number": "646-453-6777",
"fax_number": "929-596-7897"
}
],
"practiceLocations": [
{
"address_1": "13213 E 14 Mile Rd",
"address_purpose": "LOCATION",
"city": "Sterling Heights",
"state": "MI",
"postal_code": "483126302",
"country_code": "US",
"telephone_number": "586-939-4374 x1513",
"fax_number": "586-939-4783",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "585 Jewett Rd",
"address_purpose": "LOCATION",
"city": "Mason",
"state": "MI",
"postal_code": "488548729",
"country_code": "US",
"telephone_number": "517-676-5405",
"fax_number": "517-676-5460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYES",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801096870",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L14844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6801096870",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "L14844",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.