CLARK HAZEL
NPI 1184238024
Social Worker - Clinical in Portland, OR
About Clark Hazel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK HAZEL (NPI 1184238024) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L14056) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clark Hazel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clark Hazel's NPI number?
The NPI number for Clark Hazel is 1184238024. It was assigned to this individual provider in the NPPES registry on September 8, 2020.
Where is Clark Hazel located?
Clark Hazel practices at 14600 NW Cornell Rd, Portland, OR 97229. The listed phone number is (503) 645-3581.
What is Clark Hazel's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Clark Hazel enrolled in Medicare?
Yes. Clark Hazel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Clark Hazel accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Clark Hazel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Clark Hazel was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clark Hazel · NPI 1184238024
Clinical provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 8, 2020.
## Identity
- **NPI:** 1184238024 (Entity type: Individual)
- **Enumerated:** September 8, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** L14056 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14600 NW CORNELL RD, Portland, OR 97229-5442
- **Phone:** (503) 645-3581
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184238024) · Data from the CMS NPPES public registry.