| Kristina Ivy, LCSW | |
|
17727 E Burnside St, Portland, OR 97233-4803 | |
| (503) 215-9800 | |
| Not Available |
| Full Name | Kristina Ivy |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 17727 E Burnside St, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902280365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 084358 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Oregon) | Secondary |
| 104100000X | Social Worker | (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Ivy, LCSW 2637 N Halleck St, Portland, OR 97217-6361 Ph: (208) 284-3508 | Kristina Ivy, LCSW 17727 E Burnside St, Portland, OR 97233-4803 Ph: (503) 215-9800 |
Ms. Claudette Hastie Beahrs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3318 Ne Hancock St, Portland, OR 97212 Phone: 503-249-7215 Fax: 503-335-3444 | |
Ms. Sonya Carmen Strickland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 Se Alder St Ste 301, Portland, OR 97214 Phone: 503-709-6101 | |
Mr. Del R Thornton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 Sw Taylor, #345, Portland, OR 97205 Phone: 503-449-3238 | |
Mrs. Yvette Denine Arey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Road, Bldg 104 Primary Care Clinic, Portland, OR 97207 Phone: 503-220-8262 Fax: 503-273-5210 | |
Mr. Paul Patrick Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Se 14th Ave, Portland, OR 97214 Phone: 503-235-3433 Fax: 503-235-4762 | |
Mrs. Nalini Kuruppu, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2233 N Holman St, Portland, OR 97217 Phone: 503-753-9157 | |
Jeni Lynne Shilman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2701 Nw Vaughn St, Portland, OR 97210 Phone: 503-499-5200 |