Miya Gray Abbott, LICENSED CLINICAL SO
NPI 1053595785ActiveIndividual· Social Worker, Clinical· Portland, OR
Social Worker, Clinical (LICENSED CLINICAL SO) in Portland, Oregon, licensed in OR, with an NPI issued in December 2007.
Overview
| NPI | 1053595785 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICENSED CLINICAL SO |
| Sole proprietor | Yes |
| NPI issued | Dec 17, 2007 |
| Last updated in NPPES | Oct 23, 2023 |
| Certified by provider | Jan 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | L4914 | OR |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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