Tess J Krakoff, CADC I/CSWA/QMHP is a
Social Worker - Clinical based in Portland, Oregon. Tess J Krakoff is licensed to practice in Oregon (license number A4300) and her current practice location is
15 N Morris St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 230-9875.
NPI number for Tess J Krakoff is 1770951402 and her current mailing address is 722 Ne Prescott St Apt 4, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770951402.
Healthcare Provider's Profile
| Full Name | Tess J Krakoff |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 15 N Morris St, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770951402
- Provider Enumeration Date: 09/11/2015
- Last Update Date: 08/16/2019
Medical Identifiers
Medical identifiers for Tess J Krakoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770951402 | NPI | - | NPPES |
| 500720990 | Medicaid | OR | |
| 500725818 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17-08-11 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2014-000110 (New Jersey) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SL06094000 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | A4300 (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. Tess J Krakoff 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 |
|---|
Tess J Krakoff, CADC I/CSWA/QMHP
722 Ne Prescott St Apt 4,
Portland, OR 97211-3982
Ph: (732) 763-2745 | Tess J Krakoff, CADC I/CSWA/QMHP
15 N Morris St,
Portland, OR 97227-1541
Ph: (503) 230-9875 |
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