Alissa Claire Ellsworth, CSWA is a
Social Worker - Clinical based in Portland, Oregon. Alissa Claire Ellsworth is licensed to practice in Oregon (license number A13970) and her current practice location is
1904 Se Division St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 517-8663.
NPI number for Alissa Claire Ellsworth is 1134866767 and her current mailing address is 1904 Se Division St, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134866767.
Healthcare Provider's Profile
Full Name | Alissa Claire Ellsworth |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1904 Se Division St, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134866767
- Provider Enumeration Date: 05/16/2022
- Last Update Date: 06/09/2024
Medical Identifiers
Medical identifiers for Alissa Claire Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134866767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | A13970 (Oregon) | 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. Alissa Claire Ellsworth 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 |
Alissa Claire Ellsworth, CSWA 1904 Se Division St, Portland, OR 97202-1146 Ph: (503) 517-8663 | Alissa Claire Ellsworth, CSWA 1904 Se Division St, Portland, OR 97202-1146 Ph: (503) 517-8663 |
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