Ayesha M Ali, LCSW
Social Worker, Clinical in Bend, Oregon
1770140881- Practice location
- 63311 Jamison St, Bend, OR 97703-8288
- Phone
- 541-322-7500
- Fax
- 541-322-7565
- Last updated
- May 16, 2022
Ayesha M Ali, LCSW is a Social Worker, Clinical based in Bend, OR. Ayesha M Ali, LCSW holds the professional credentials of LCSW. The NPI number for Ayesha M Ali, LCSW is 1770140881 and holds license No. 084586 (OR). The current practice location address is 63311 Jamison St, Bend, OR 97703-8288 and the office can be reached by phone at 541-322-7500 and by fax at 541-322-7565. The NPI was assigned on May 23, 2019 and the record was last updated in NPPES on May 16, 2022.
●Provider Profile Details
- NPI Number
- 1770140881
- Provider Name
- Ayesha Mohamed Ali
- Credential
- LCSW
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Enumeration Date
- May 23, 2019
- Last Update Date
- May 16, 2022
- Certification Date
- May 15, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 63311 Jamison St
Bend, OR 97703-8288 - City
- Bend
- State
- Oregon
- ZIP
- 97703-8288
- Country
- US
- Phone Number
- 541-322-7500
- Fax Number
- 541-322-7565
✉Business Mailing Address
- Address
- 2577 NE Courtney Dr
Bend, OR 97701-7752 - City
- Bend
- State
- OR
- ZIP
- 97701-7752
- Phone Number
- 541-322-7500
- Fax Number
- 541-322-7565
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | No | 084586 | OR |
| Social Worker | 104100000X | No | — | — |
| Social Worker, Clinical | 1041C0700X | Yes | L10972 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Ayesha M Ali, LCSW?
The NPI number of Ayesha M Ali, LCSW is 1770140881. It was assigned on May 23, 2019 and is currently active in the NPPES registry.
What is the specialty of Ayesha M Ali, LCSW?
Ayesha M Ali, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X) and holds license No. 084586 (OR).
Where does Ayesha M Ali, LCSW practice?
The practice location is 63311 Jamison St, Bend, OR 97703-8288. The office can be reached at 541-322-7500 (phone) or 541-322-7565 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770140881 directly on the NPPES registry website at npiregistry.cms.hhs.gov.