Kristen Kelley, CSWA is a
Social Worker - Clinical based in Clackamas, Oregon. Kristen Kelley is licensed to practice in Oregon (license number A5600) and her current practice location is
10180 Se Sunnyside Rd, Clackamas, Oregon. She can be reached at her office (for appointments etc.) via phone at
(805) 901-0962.
NPI number for Kristen Kelley is 1376923060 and her current mailing address is Po Box 8459, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376923060.
Healthcare Provider's Profile
Full Name | Kristen Kelley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376923060
- Provider Enumeration Date: 06/08/2015
- Last Update Date: 12/24/2021
Medical Identifiers
Medical identifiers for Kristen Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376923060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | A5600 (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. Kristen Kelley 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 |
Kristen Kelley, CSWA Po Box 8459, Portland, OR 97207-8459 Ph: (503) 238-0769 | Kristen Kelley, CSWA 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (805) 901-0962 |
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