Kaeli Harwood, CSWA, QMHP is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
33 Nw Broadway, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 228-7134.
Kaeli Harwood is licensed to practice in Oregon (license number A12270) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043857568.
Healthcare Provider's Profile
Full Name | Kaeli Harwood |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 33 Nw Broadway, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043857568
- Provider Enumeration Date: 12/03/2019
- Last Update Date: 05/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739527524
- Enrollment ID: I20240328003523
Medical Identifiers
Medical identifiers for Kaeli Harwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043857568 | NPI | - | NPPES |
12032019540529 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | A12270 (* (Not Available)) | Secondary |
372600000X | Adult Companion | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | A12270 (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. Kaeli Harwood is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kaeli Harwood, CSWA, QMHP Po Box 8459, Portland, OR 97207-8459 Ph: () - | Kaeli Harwood, CSWA, QMHP 33 Nw Broadway, Portland, OR 97209-3580 Ph: (503) 228-7134 |
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