Create Change, Llc in Portland, OR - Medicare Social Worker

Create Change, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Portland, Oregon. The current practice location for Create Change, Llc is 312 Nw 10th Ave, Suite 200, Portland, Oregon. For appointments, you can reach them via phone at (503) 842-7855. The mailing address for Create Change, Llc is 312 Nw 10th Ave, Suite 200, Portland, Oregon and phone number is (503) 842-7855.

Create Change, Llc is licensed to practice in Oregon (license number 2340). The clinic also participates in the medicare program and its NPI number is 1407210867. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 842-7855.

Contact Information

	Create Change, Llc
	312 Nw 10th Ave Suite 200 Portland OR 97209-3121
	(503) 842-7855
	(503) 222-0984

Map and Direction

Mental Health Clinic Profile

Full Name	Create Change, Llc
Speciality	Social Worker
Location	312 Nw 10th Ave, Portland, Oregon
Authorized Official Name and Position	Sheila Walty (DIRECTOR)
Authorized Official Contact	5038427855
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Create Change, Llc 312 Nw 10th Ave Suite 200 Portland OR 97209-3121 Ph: (503) 842-7855	Create Change, Llc 312 Nw 10th Ave Suite 200 Portland OR 97209-3121 Ph: (503) 842-7855

NPI Details:

NPI Number	1407210867
Provider Enumeration Date	04/11/2016
Last Update Date	04/11/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	8921385840
Medicare Enrollment ID	O20170502002394

Medical Identifiers

Medical identifiers for Create Change, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407210867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2340 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Create Change, Llc acts as a billing entity for following providers:

Provider Name	Sheila M Walty
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1407863947 PECOS PAC ID: 2961509831 Enrollment ID: I20070530000109

Reviews and Comments

Social Worker in Portland, OR

Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069
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Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468
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Create Change, Llc - Medicare Mental Health Clinic in Portland, OR