Individual provider Active NPI

Vickie Marie Larson-Hills, MSW LCSW

  • Clinical Social Worker
  • Albany, OR
National Provider Identifier
1821548728
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7637 Issued in OR
Practice address
340 1St Ave SE
Albany, OR 97321-2738
Phone
(360) 356-2508
NPI assigned
Oct 4, 2016
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X L7637 OR Primary

Addresses

Primary practice location

340 1St Ave SE
Albany, OR 97321-2738

Mailing address

510 NE Aspen St
Sublimity, OR 97385-9106
Phone (503) 509-6223

Other practice location 1

742 Hawthorne Ave NE
Salem, OR 97301-4675
Phone (360) 356-2508

Other practice location 2

1118 Oak St SE
Salem, OR 97301-4019
Phone (503) 585-4949

Other practice location 3

1538 Queen Ave SE
Albany, OR 97322-6687
Phone (360) 356-2508

Other practice location 4

510 NE Aspen St
Sublimity, OR 97385-9106
Phone (360) 356-2508

Other identifiers 2

IdentifierTypeStateIssuer
L7637OtherORLICENSED CLINICAL SOCIAL WORKER LICENSE #
500717536MedicaidOR

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
I20220610001226 OR Practitioner - Clinical Social Worker 3870971476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Human Services IncGroup PAC ID 7012825797, 33 clinicians
Vickie M Larson-Hills MSW LCSW LLCGroup PAC ID 2961880562, 2 clinicians

Practice addresses (Care Compare)

1233 Edgewater St NW
Salem, OR 97304-4049
Phone (503) 378-7526

340 1St Ave SE
Albany, OR 97321-2738
Phone (360) 356-2508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L7637ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Northwest Human Services, Inc. CurrentSince Sep 27, 2024 Accepting new patients
Northwest Human Services, Inc. CurrentSince Sep 27, 2024 Accepting new patients
Northwest Human Services, Inc. Past Accepting new patients
Marion County Past Accepting new patients

Locations

180 Atwater St N
Monmouth, OR 97361
Phone (503) 378-7526

1233 Edgewater St NW
Salem, OR 97304
Phone (503) 378-7526

1233 Edgewater St NW
Ste B
Salem, OR 97304
Phone (503) 378-7526

Interoperability endpoints

  • Direct secure messaging: vickielarsonhills@tdh.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1821548728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NE ASPEN ST",
            "city": "SUBLIMITY",
            "state": "OR",
            "postal_code": "973859106",
            "telephone_number": "503-509-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 1ST AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212738",
            "telephone_number": "360-356-2508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "742 Hawthorne Ave NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973014675",
            "country_code": "US",
            "telephone_number": "360-356-2508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1118 Oak St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973014019",
            "country_code": "US",
            "telephone_number": "503-585-4949",
            "fax_number": "503-585-4965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1538 Queen Ave SE",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973226687",
            "country_code": "US",
            "telephone_number": "360-356-2508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 NE Aspen St",
            "address_purpose": "LOCATION",
            "city": "Sublimity",
            "state": "OR",
            "postal_code": "973859106",
            "country_code": "US",
            "telephone_number": "360-356-2508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON-HILLS",
        "first_name": "VICKIE",
        "middle_name": "MARIE",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER LICENSE #",
            "identifier": "L7637",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500717536",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.