Wren Elliot Jane Kennedy, is a
Social Worker - Clinical based in Dallas, Oregon. Wren Elliot Jane Kennedy is licensed to practice in Oregon (license number A15487) and current practice location is
2200 E Ellendale Ave, Dallas, Oregon. can be reached at office (for appointments etc.) via phone at
(503) 623-5588.
NPI number for Wren Elliot Jane Kennedy is 1548017908 and current mailing address is 2200 E Ellendale Ave, Dallas, Oregon.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1548017908.
Healthcare Provider's Profile
Full Name | Wren Elliot Jane Kennedy |
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Gender | |
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Speciality | Social Worker - Clinical |
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Location | 2200 E Ellendale Ave, Dallas, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548017908
- Provider Enumeration Date: 05/03/2024
- Last Update Date: 10/21/2024
Medical Identifiers
Medical identifiers for Wren Elliot Jane Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548017908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | A15487 (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. Wren Elliot Jane Kennedy 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 |
Wren Elliot Jane Kennedy, 2200 E Ellendale Ave, Dallas, OR 97338-9353 Ph: (503) 623-5588 | Wren Elliot Jane Kennedy, 2200 E Ellendale Ave, Dallas, OR 97338-9353 Ph: (503) 623-5588 |
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