Active NPI
Shanti Akayla, LCSW,
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1437875556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5765
- Practice address
- 5228 NE Hoyt St BLDG B
Portland, OR 97213-3055 - Phone
- (503) 215-4860
- NPI assigned
- Oct 19, 2022
- Last updated
- Apr 21, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L5765 | OR | Primary |
Addresses
Primary practice location
5228 NE Hoyt St BLDG B
Portland, OR 97213-3055
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-4860
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shanti.akayla@providence.org | Direct | Providence Health & Services Oregon |
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 |
|---|---|---|---|
| L5765 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1437875556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5228 NE HOYT ST BLDG B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972133055",
"telephone_number": "503-215-4860"
}
],
"practiceLocations": [
{
"address_1": "4805 NE Glisan St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972132933",
"country_code": "US",
"telephone_number": "503-215-4860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKAYLA",
"first_name": "SHANTI",
"credential": "LCSW,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5765",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shanti.akayla@providence.org",
"affiliation": "Y",
"endpointDescription": "work email address",
"affiliationName": "Providence Health & Services Oregon",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4805 NE Glisan St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132933",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 21, 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.