Adriana Elizabeth Larsen De Gisler, SOCIAL WORKER, CADCI is a
Social Worker - Clinical based in Lincoln City, Oregon. Adriana Elizabeth Larsen De Gisler is licensed to practice in * (Not Available) (license number ) and her current practice location is
4422 Ne Devils Lake Blvd Ste 2, Lincoln City, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 265-4947.
NPI number for Adriana Elizabeth Larsen De Gisler is 1811374846 and her current mailing address is 9605 Grand Ronde Rd, Grand Ronde, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811374846.
Healthcare Provider's Profile
| Full Name | Adriana Elizabeth Larsen De Gisler |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4422 Ne Devils Lake Blvd Ste 2, Lincoln City, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811374846
- Provider Enumeration Date: 04/28/2015
- Last Update Date: 06/21/2021
Medical Identifiers
Medical identifiers for Adriana Elizabeth Larsen De Gisler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811374846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CADC CANDIDATE (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-16-275 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adriana Elizabeth Larsen De Gisler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Adriana Elizabeth Larsen De Gisler, SOCIAL WORKER, CADCI
9605 Grand Ronde Rd,
Grand Ronde, OR 97347-9712
Ph: (503) 879-2060 | Adriana Elizabeth Larsen De Gisler, SOCIAL WORKER, CADCI
4422 Ne Devils Lake Blvd Ste 2,
Lincoln City, OR 97367-5000
Ph: (541) 265-4947 |
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