Charlotte Mary Garner, CADC III/CSWA/QMHP-R is a
Social Worker based in Portland, Oregon. Charlotte Mary Garner is licensed to practice in Oregon (license number A14367) and her current practice location is
17645 Nw Saint Helens Rd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 621-1069.
NPI number for Charlotte Mary Garner is 1780130690 and her current mailing address is 1776 Sw Madison St, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780130690.
Healthcare Provider's Profile
| Full Name | Charlotte Mary Garner |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 17645 Nw Saint Helens Rd, 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: 1780130690
- Provider Enumeration Date: 08/30/2016
- Last Update Date: 06/13/2024
Medical Identifiers
Medical identifiers for Charlotte Mary Garner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780130690 | NPI | - | NPPES |
| 500804873 | Medicaid | OR | |
| 500718742 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19-09-30 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | 23-QMHP-R-2079 (Oregon) | Secondary |
| 104100000X | Social Worker | A14367 (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. Charlotte Mary Garner 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 |
|---|
Charlotte Mary Garner, CADC III/CSWA/QMHP-R
1776 Sw Madison St,
Portland, OR 97205-1715
Ph: (503) 224-1044 | Charlotte Mary Garner, CADC III/CSWA/QMHP-R
17645 Nw Saint Helens Rd,
Portland, OR 97231-1729
Ph: (503) 621-1069 |
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