Active NPI
Susan Jackson Ulbright, LCSW
- Clinical Social Worker
- Hillsboro, OR
National Provider Identifier
1790897437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2001
- Practice address
- 1049 SW Baseline St
Suite B 240
Hillsboro, OR 97123-3835 - Phone
- (503) 789-4482
- Fax
- (503) 846-9515
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 2001 | OR | Primary |
Addresses
Primary practice location
1049 SW Baseline St
Suite B 240
Hillsboro, OR 97123-3835
Mailing address
1049 SW Baseline St
Suite B 240
Hillsboro, OR 97123-3835
Phone (503) 789-4482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V648P-2973 | Other | OR | SALEM VETERANS CENTER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790897437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 SW BASELINE ST",
"address_2": "SUITE B 240",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971233835",
"telephone_number": "503-789-4482",
"fax_number": "503-846-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 SW BASELINE ST",
"address_2": "SUITE B 240",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971233835",
"telephone_number": "503-789-4482",
"fax_number": "503-846-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULBRIGHT",
"first_name": "SUSAN",
"middle_name": "JACKSON",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "2001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SALEM VETERANS CENTER",
"identifier": "V648P-2973",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.