Nicole Renee Gerritsen, MSW is a
Social Worker - Clinical based in Portland, Oregon. Nicole Renee Gerritsen is licensed to practice in Oregon (license number L10336) and her current practice location is
200 Se 7th Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 235-0131.
NPI number for Nicole Renee Gerritsen is 1528570777 and her current mailing address is 200 Se 7th Ave, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528570777.
Healthcare Provider's Profile
Full Name | Nicole Renee Gerritsen |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 200 Se 7th Ave, 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: 1528570777
- Provider Enumeration Date: 10/27/2017
- Last Update Date: 10/27/2020
Medical Identifiers
Medical identifiers for Nicole Renee Gerritsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528570777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L10336 (Oregon) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
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. Nicole Renee Gerritsen 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 |
Nicole Renee Gerritsen, MSW 200 Se 7th Ave, Portland, OR 97214-1200 Ph: () - | Nicole Renee Gerritsen, MSW 200 Se 7th Ave, Portland, OR 97214-1200 Ph: (503) 235-0131 |
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