Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alice Hacker

Individual provider Clinical Social Worker · NPI 1477957876

Alice Hacker is a Clinical Social Worker in Portland, Oregon. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York and Oregon.

Years since qualifying
12
Licensed in
NY, OR
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

4936 SE Woodstock Blvd
Portland, OR 97206-6163
Phone: (503) 395-0029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L10225 (OR)
Clinical Social Worker Taxonomy 1041C0700X (NY)

Record details

NPI number1477957876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 14, 2014
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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