Mrs Justine Chase Taylor, LCSW is a
Social Worker - Clinical based in Portland, Oregon. Mrs Justine Chase Taylor is licensed to practice in Oregon (license number L5361) and her current practice location is
5228 Ne Hoyt St Bldg B2nd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 215-6474.
NPI number for Mrs Justine Chase Taylor is 1528340957 and her current mailing address is Po Box 3158, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528340957.
Healthcare Provider's Profile
| Full Name | Mrs Justine Chase Taylor |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 5228 Ne Hoyt St Bldg B2nd, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528340957
- Provider Enumeration Date: 09/12/2011
- Last Update Date: 12/09/2019
Medical Identifiers
Medical identifiers for Mrs Justine Chase Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528340957 | NPI | - | NPPES |
| 500698051 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | CG60134923 (Washington) | Secondary |
| 104100000X | Social Worker | L5361 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L5361 (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. Mrs Justine Chase Taylor 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 |
Mrs Justine Chase Taylor, LCSW Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Mrs Justine Chase Taylor, LCSW 5228 Ne Hoyt St Bldg B2nd, Portland, OR 97213-3055 Ph: (503) 215-6474 |
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