Allyssa Marie Stacks, LCSW is a
Social Worker - Clinical based in Tigard, Oregon. Allyssa Marie Stacks is licensed to practice in * (Not Available) (license number ) and her current practice location is
7100 Sw Hampton St Ste 223, Tigard, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 342-2510.
NPI number for Allyssa Marie Stacks is 1134779739 and her current mailing address is 7100 Sw Hampton St Ste 223, Tigard, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134779739.
Healthcare Provider's Profile
| Full Name | Allyssa Marie Stacks |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 7100 Sw Hampton St Ste 223, Tigard, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134779739
- Provider Enumeration Date: 09/16/2019
- Last Update Date: 09/26/2025
Medical Identifiers
Medical identifiers for Allyssa Marie Stacks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134779739 | 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. Allyssa Marie Stacks 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 |
Allyssa Marie Stacks, LCSW 7100 Sw Hampton St Ste 223, Tigard, OR 97223-8364 Ph: (503) 342-2510 | Allyssa Marie Stacks, LCSW 7100 Sw Hampton St Ste 223, Tigard, OR 97223-8364 Ph: (503) 342-2510 |
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