Individual provider Active NPI

Andree Volin, LCSW

  • Clinical Social Worker
  • Hillsboro, OR
National Provider Identifier
1710252473
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-12166 Issued in NM
Practice address
9620 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7844
Phone
(541) 250-0382
NPI assigned
Mar 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 L6283 OR
Clinical Social Worker 1041C0700X C-12166 NM Primary

Addresses

Primary practice location

9620 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7844

Mailing address

500 4TH St NW Ste 102
Albuquerque, NM 87102-2104
Phone (541) 250-0382

Other practice location 1

500 4th St NW Ste 102
Albuquerque, NM 87102-2104
Phone (541) 250-0382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20230626003624 NM Practitioner - Clinical Social Worker 8426374216 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tete-a-Tete, LLC Clinical Current Accepting new patients
Presbyterian Medical Services Clinical CurrentSince Jun 5, 2023 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services CurrentSince Jun 5, 2023 Accepting new patients

Locations

500 4th St NW
Ste 102
Albuquerque, NM 87102
Phone (505) 356-7650

2025 E Aztec Ave
Gallup, NM 87301
Phone (505) 863-3120

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1710252473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 4TH ST NW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022104",
            "telephone_number": "541-250-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 NE TANASBOURNE DR STE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247844",
            "telephone_number": "541-250-0382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 4th St NW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022104",
            "country_code": "US",
            "telephone_number": "541-250-0382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLIN",
        "first_name": "ANDREE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2024-06-25",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6283",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-12166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.