Tawny Estrella Porter Colagross, MSW is a
Social Worker - Clinical based in Oakland, California. Tawny Estrella Porter Colagross is licensed to practice in California (license number 119961) and her current practice location is
1266 14th St, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 273-4700.
NPI number for Tawny Estrella Porter Colagross is 1720415912 and her current mailing address is 2161 San Antonio Ave, Apt C, Alameda, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720415912.
Healthcare Provider's Profile
| Full Name | Tawny Estrella Porter Colagross |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1266 14th St, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720415912
- Provider Enumeration Date: 10/02/2013
- Last Update Date: 08/29/2024
Medical Identifiers
Medical identifiers for Tawny Estrella Porter Colagross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720415912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 119961 (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 119961 (California) | 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. Tawny Estrella Porter Colagross 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 |
|---|
Tawny Estrella Porter Colagross, MSW
2161 San Antonio Ave, Apt C,
Alameda, CA 94501-4304
Ph: (209) 753-8584 | Tawny Estrella Porter Colagross, MSW
1266 14th St,
Oakland, CA 94607-2247
Ph: (510) 273-4700 |
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