Mary Jayne Wykowski, LCSW is a
Social Worker - Clinical based in Portland, Oregon. Mary Jayne Wykowski is licensed to practice in Oregon (license number L4960) and her current practice location is
2415 Se 43rd Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 872-0168.
NPI number for Mary Jayne Wykowski is 1861689978 and her current mailing address is 2935 Nw 154th Ave, Beaverton, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861689978.
Healthcare Provider's Profile
Full Name | Mary Jayne Wykowski |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2415 Se 43rd Ave, 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: 1861689978
- Provider Enumeration Date: 10/02/2007
- Last Update Date: 07/26/2011
Medical Identifiers
Medical identifiers for Mary Jayne Wykowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861689978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L4960 (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. Mary Jayne Wykowski 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 |
Mary Jayne Wykowski, LCSW 2935 Nw 154th Ave, Beaverton, OR 97006-5351 Ph: (503) 312-5181 | Mary Jayne Wykowski, LCSW 2415 Se 43rd Ave, Portland, OR 97206-1600 Ph: (503) 872-0168 |
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