IndividualActive
Ann Moylan, LCSW
NPI 1164099081 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1164099081
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 6126 (NE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1717 Ne 42nd Ave Ste 3100
Portland, OR 97213-1572
Phone: (503) 567-5103
Street-level locationGet directions
Mailing address
1717 Ne 42nd Ave Ste 3100
Portland, OR 97213-1572
Registry dates
- Enumerated
- 2021-06-09
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.