Individual provider Active NPI

Holly Hess, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1720596638
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4747 Issued in OR
Practice address
2800 N Vancouver Ave Ste 201
Portland, OR 97227-1648
Phone
(503) 276-9000
Fax
(503) 276-9010
NPI assigned
Jan 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L4747 OR Primary

Addresses

Primary practice location

2800 N Vancouver Ave Ste 201
Portland, OR 97227-1648

Mailing address

2800 N Vancouver Ave Ste 201
Portland, OR 97227-1648
Phone (503) 413-4048

Other practice location 1

823 NE Broadway St
Portland, OR 97232-1215
Phone (503) 476-1165

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L4747ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1720596638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271648",
            "telephone_number": "503-413-4048",
            "fax_number": "503-413-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271648",
            "telephone_number": "503-276-9000",
            "fax_number": "503-276-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 NE Broadway St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972321215",
            "country_code": "US",
            "telephone_number": "503-476-1165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESS",
        "first_name": "HOLLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4747",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.