NPIMap

Individual provider Active NPI

Fern D Hemmer, LCSW

  • Clinical Social Worker
  • Hillsboro, OR
National Provider Identifier
1487966289
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6747 Issued in OR
Practice address
6355 NE Cornell Rd Ste 100
Hillsboro, OR 97124-5434
Phone
(503) 597-3130
Fax
(503) 346-3901
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9924115 CO
Clinical Social Worker 1041C0700X L6747 OR Primary

Addresses

Primary practice location

6355 NE Cornell Rd Ste 100
Hillsboro, OR 97124-5434

Mailing address

6355 NE Cornell Rd Ste 100
Hillsboro, OR 97124-5434
Phone (503) 597-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161109000080 OR Practitioner - Clinical Social Worker 0547549834 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tuality Medical Group LLCGroup PAC ID 7416173414, 289 clinicians

Practice addresses (Care Compare)

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9924115COMDClinical Social Worker
L6747ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Multnomah County CurrentSince Sep 3, 2016 Accepting new patients
Tuality Medical Group LLC CurrentSince May 1, 2021 Accepting new patients
University Professional Services Current Accepting new patients
Tuality Medical Group LLC CurrentSince May 1, 2021 Accepting new patients
Oregon Health & Science University Current Accepting new patients
Multnomah County CurrentSince Sep 3, 2016 Accepting new patients
Oregon Health & Science University CurrentSince Aug 25, 2017 Accepting new patients
Oregon Health & Science University CurrentSince Aug 25, 2017 Accepting new patients
Tuality Healthcare Current Accepting new patients
Multnomah County Current Accepting new patients
University Professional Services CurrentSince Aug 25, 2017 Accepting new patients
University Professional Services CurrentSince Aug 25, 2017 Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

6355 NE Cornell Rd
Ste 100
Hillsboro, OR 97124
Phone (503) 597-3130

3930 SE Division St
Portland, OR 97202
Phone (503) 418-3900

12710 SE Division St
Portland, OR 97236
Phone (503) 988-3410

209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674

Organizations & group practices 12

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1487966289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 NE CORNELL RD STE 100",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245434",
            "telephone_number": "503-597-3130",
            "fax_number": "503-346-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 NE CORNELL RD STE 100",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245434",
            "telephone_number": "503-597-3130",
            "fax_number": "503-346-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMER",
        "first_name": "FERN",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9924115",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.