Shawna Nicole Rose, LCSW is a
Social Worker - Clinical based in Portland, Oregon. Shawna Nicole Rose is licensed to practice in * (Not Available) (license number ) and her current practice location is
1832 Ne Broadway St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 754-4502.
NPI number for Shawna Nicole Rose is 1164824090 and her current mailing address is 715 Sw Ramsey Ave, Grants Pass, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164824090.
Healthcare Provider's Profile
Full Name | Shawna Nicole Rose |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1832 Ne Broadway St, 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: 1164824090
- Provider Enumeration Date: 09/23/2014
- Last Update Date: 02/28/2023
Medical Identifiers
Medical identifiers for Shawna Nicole Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164824090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Shawna Nicole Rose 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 |
Shawna Nicole Rose, LCSW 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 Ph: () - | Shawna Nicole Rose, LCSW 1832 Ne Broadway St, Portland, OR 97232-1992 Ph: (503) 754-4502 |
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