Kevin David Michael Menasco, LCSW is a
Social Worker - Clinical based in Portland, Oregon. Kevin David Michael Menasco is licensed to practice in Oregon (license number L9518) and his current practice location is
32 Ne 11th Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(978) 979-6094.
NPI number for Kevin David Michael Menasco is 1225475387 and his current mailing address is 32 Ne 11th Ave, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225475387.
Healthcare Provider's Profile
| Full Name | Kevin David Michael Menasco |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 32 Ne 11th Ave, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225475387
- Provider Enumeration Date: 05/30/2013
- Last Update Date: 03/09/2022
Medical Identifiers
Medical identifiers for Kevin David Michael Menasco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225475387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L9518 (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. Kevin David Michael Menasco 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 |
|---|
Kevin David Michael Menasco, LCSW
32 Ne 11th Ave,
Portland, OR 97232
Ph: (978) 979-6094 | Kevin David Michael Menasco, LCSW
32 Ne 11th Ave,
Portland, OR 97232
Ph: (978) 979-6094 |
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