MR. SAMUEL HURLEY CSWA
NPI 1407331531
Social Worker - Clinical in Portland, OR

Active since September 25, 2018PECOS EnrolledAccepts Medicare Assignment
619 NW 6TH AVE FL 5, PORTLAND, OR 97209(503) 988-7468 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2021, Sep 25, 2018 (2 updates tracked since 2018).

About Mr. Samuel Hurley Cswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMUEL HURLEY CSWA (NPI 1407331531) is an individual clinical provider in Portland, Oregon and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407331531
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SAMUEL HURLEYCredential: CSWA
Location Address619 NW 6TH AVE FL 5Portland, OR 97209-3964
Mailing Address619 Nw 6th Ave Fl 5Portland, OR 97209-3964 · (503) 988-7468 · Fax (360) 768-5547
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 25, 2018
Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
NPI 1407331531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
619 NW 6TH AVE FL 5, Portland, OR 97209

Other Identifiers 1

Medicaid022959OR

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

Mr. Samuel Hurley Cswa 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.

PECOS PAC ID2062819295
PECOS Enrollment IDI20210930000886
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
619 NW 6TH AVE FL 5
PORTLAND, OR 97209
Family Medicine
619 NW 6TH AVE FL 5
PORTLAND, OR 97209
Nurse Practitioner (Family)
619 NW 6TH AVE FL 5
PORTLAND, OR 97209

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 Samuel Hurley's NPI number?

The NPI number for Samuel Hurley is 1407331531. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Samuel Hurley located?

Samuel Hurley practices at 619 NW 6th Ave Fl 5, Portland, OR 97209. The listed phone number is (503) 988-7468.

What is Samuel Hurley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samuel Hurley enrolled in Medicare?

Yes. Samuel Hurley 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 Samuel Hurley accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Samuel Hurley 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 Samuel Hurley was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.