Individual provider Active NPI

Gail Margaret Hardman-Woung, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1861571317
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3799 Issued in OR
Practice address
4035 NE Sandy Blvd Ste 200
Portland, OR 97212-5331
Phone
(971) 940-2601
Fax
(503) 288-7877
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 L3799 OR Primary

Addresses

Primary practice location

4035 NE Sandy Blvd Ste 200
Portland, OR 97212-5331

Mailing address

4035 NE Sandy Blvd Ste 200
Portland, OR 97212-5331
Phone (971) 940-2601

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
I20190308001516 OR Practitioner - Clinical Social Worker 9537301981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1785 NE Sandy Blvd
Suite 270
Portland, OR 97232-2791
Phone (971) 940-2601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L3799ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gail Hardman-Woung, LCSW, P.C. Current Accepting new patients
Portland Neurofeedback, LLC CurrentSince Nov 4, 2018 Accepting new patients
Larsen Sanchez Psychology, LLC PastSince Feb 3, 2018 Accepting new patients

Locations

1785 NE Sandy Blvd
Ste 270
Portland, OR 97232
Phone (503) 622-8964

4035 NE Sandy Blvd
Ste 200
Portland, OR 97212
Phone (971) 940-2601

3939 NE Hancock St
Ste 210
Portland, OR 97212
Phone (503) 209-2392

Organizations & group practices 3

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1861571317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 NE SANDY BLVD STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125331",
            "telephone_number": "971-940-2601",
            "fax_number": "503-288-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 NE SANDY BLVD STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125331",
            "telephone_number": "971-940-2601",
            "fax_number": "503-288-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDMAN-WOUNG",
        "first_name": "GAIL",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2024-03-22",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.