Ms Sheri Blue, LCSW,CADC1,LMT is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
3945 Se Hawthorne Blvd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 917-3226.
Ms Sheri Blue is licensed to practice in Oregon (license number L6079) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710011911.
Healthcare Provider's Profile
Full Name | Ms Sheri Blue |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3945 Se Hawthorne Blvd, Portland, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710011911
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 05/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 4183918733
- Enrollment ID: I20160816000725
Medical Identifiers
Medical identifiers for Ms Sheri Blue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710011911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 11-12-06 (Oregon) | Secondary |
225700000X | Massage Therapist | 5842 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | L6079 (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. Ms Sheri Blue is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Sheri Blue, LCSW,CADC1,LMT 3945 Se Hawthorne Blvd, Portland, OR 97214-5241 Ph: (503) 917-3226 | Ms Sheri Blue, LCSW,CADC1,LMT 3945 Se Hawthorne Blvd, Portland, OR 97214-5241 Ph: (503) 917-3226 |
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