Active NPI
Michael Ary, CSWA
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1962971085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A15256
- Practice address
- 11740 SW 68TH Pkwy Ste 200
Portland, OR 97223-9058 - Phone
- (760) 792-2127
- NPI assigned
- Nov 19, 2018
- Last updated
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW102125 | CA | |
| Clinical Social Worker | 1041C0700X | A15256 | OR | Primary |
Addresses
Primary practice location
11740 SW 68TH Pkwy Ste 200
Portland, OR 97223-9058
Mailing address
11740 SW 68TH Pkwy Ste 200
Portland, OR 97223-9058
Other practice location 1
6800 Indiana Ave Ste 260
Riverside, CA 92506-4287
Phone (951) 782-0040
Other practice location 2
1111 Baker St
Costa Mesa, CA 92626-4138
Phone (818) 241-6780
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW102125 | CA | MD | Clinical Social Worker |
| A15256 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1962971085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11740 SW 68TH PKWY STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972239058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11740 SW 68TH PKWY STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972239058",
"telephone_number": "760-792-2127"
}
],
"practiceLocations": [
{
"address_1": "6800 Indiana Ave Ste 260",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925064287",
"country_code": "US",
"telephone_number": "951-782-0040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 Baker St",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926264138",
"country_code": "US",
"telephone_number": "818-241-6780",
"fax_number": "818-241-6853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARY",
"first_name": "MICHAEL",
"credential": "CSWA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-19",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW102125",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A15256",
"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 Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.