Ms Stacy Lee Lange, MSW,LCSW,CADCII is a
Social Worker - Clinical based in Lake Oswego, Oregon. Ms Stacy Lee Lange is licensed to practice in Oregon (license number 4164) and her current practice location is
15100 Boones Ferry Rd Ste 700c, Lake Oswego, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 888-2758.
NPI number for Ms Stacy Lee Lange is 1396971735 and her current mailing address is 15100 Boones Ferry Rd Ste 700c, Lake Oswego, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396971735.
Healthcare Provider's Profile
| Full Name | Ms Stacy Lee Lange |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 15100 Boones Ferry Rd Ste 700c, Lake Oswego, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396971735
- Provider Enumeration Date: 05/29/2009
- Last Update Date: 05/17/2018
Medical Identifiers
Medical identifiers for Ms Stacy Lee Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396971735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 96-10-83 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4164 (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. Ms Stacy Lee Lange 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 |
|---|
Ms Stacy Lee Lange, MSW,LCSW,CADCII
15100 Boones Ferry Rd Ste 700c,
Lake Oswego, OR 97035-3469
Ph: (503) 888-2758 | Ms Stacy Lee Lange, MSW,LCSW,CADCII
15100 Boones Ferry Rd Ste 700c,
Lake Oswego, OR 97035
Ph: (503) 888-2758 |
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