Individual provider Active NPI

Antonette N Huff, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1447848809
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L15493 Issued in OR
Practice address
650 S Gaines St Apt 1608
Portland, OR 97239-4769
Phone
(706) 289-5800
NPI assigned
Jan 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2022-0476 NM
Clinical Social Worker 1041C0700X CSW.0992737 CO
Clinical Social Worker 1041C0700X SW21314 FL
Clinical Social Worker 1041C0700X CSW006580 GA
Clinical Social Worker 1041C0700X L15493 OR Primary

Addresses

Primary practice location

650 S Gaines St Apt 1608
Portland, OR 97239-4769

Mailing address

650 S Gaines St Apt 1608
Portland, OR 97239-4769
Phone (706) 289-5800

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
I20241017000782 OR Practitioner - Clinical Social Worker 5395109995 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

650 S Gaines St
Apt 1608
Portland, OR 97239-4769
Phone (505) 225-7813

650 S Gaines St Apt
Suite 1608
Portland, OR 97239-4769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.0992737COMDClinical Social Worker
SW21314FLMDClinical Social Worker
CSW006580GAMDClinical Social Worker
SWB-2022-0476NMMDClinical Social Worker
L15493ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1447848809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S GAINES ST APT 1608",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394769",
            "telephone_number": "706-289-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S GAINES ST APT 1608",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394769",
            "telephone_number": "706-289-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "ANTONETTE",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2022-0476",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.0992737",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21314",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006580",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L15493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.