Mackensie Marie Keiner, MSW, CSWA, QMHP is a
Social Worker - Clinical based in Beaverton, Oregon. Mackensie Marie Keiner is licensed to practice in Oregon (license number A4749) and her current practice location is
12725 Sw Millikan Way Ste 300, Beaverton, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 713-5040.
NPI number for Mackensie Marie Keiner is 1497274641 and her current mailing address is 605 Nw 118th Ave Unit 106, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497274641.
Healthcare Provider's Profile
| Full Name | Mackensie Marie Keiner |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 12725 Sw Millikan Way Ste 300, Beaverton, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497274641
- Provider Enumeration Date: 09/19/2017
- Last Update Date: 08/26/2020
Medical Identifiers
Medical identifiers for Mackensie Marie Keiner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497274641 | NPI | - | NPPES |
| 500732074 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | A4749 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | A4749 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | A4749 (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. Mackensie Marie Keiner 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 |
|---|
Mackensie Marie Keiner, MSW, CSWA, QMHP
605 Nw 118th Ave Unit 106,
Portland, OR 97229-6670
Ph: (503) 816-9211 | Mackensie Marie Keiner, MSW, CSWA, QMHP
12725 Sw Millikan Way Ste 300,
Beaverton, OR 97005-1687
Ph: (503) 713-5040 |
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