Mrs Nicole Lavonne Altstadt, MSW, CSWA - Clinical Social Worker in Gresham, OR

Mrs Nicole Lavonne Altstadt, MSW, CSWA is a Social Worker - Clinical based in Gresham, Oregon. Mrs Nicole Lavonne Altstadt is licensed to practice in Oregon (license number A5691) and her current practice location is 4295 Sw Tegart Ln, Gresham, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 545-9939.

NPI number for Mrs Nicole Lavonne Altstadt is 1306507629 and her current mailing address is 4295 Sw Tegart Ln, Gresham, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306507629.

Contact Information

Mrs Nicole Lavonne Altstadt, MSW, CSWA
4295 Sw Tegart Ln,
Gresham, OR 97080-8653
(503) 545-9939
Not Available



Healthcare Provider's Profile

Full NameMrs Nicole Lavonne Altstadt
GenderFemale
SpecialitySocial Worker - Clinical
Location4295 Sw Tegart Ln, Gresham, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306507629
  • Provider Enumeration Date: 01/08/2022
  • Last Update Date: 01/08/2022

Medical Identifiers

Medical identifiers for Mrs Nicole Lavonne Altstadt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306507629NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical A5691 (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 Nicole Lavonne Altstadt 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 AddressPractice Location Address
Mrs Nicole Lavonne Altstadt, MSW, CSWA
4295 Sw Tegart Ln,
Gresham, OR 97080-8653

Ph: (503) 545-9939
Mrs Nicole Lavonne Altstadt, MSW, CSWA
4295 Sw Tegart Ln,
Gresham, OR 97080-8653

Ph: (503) 545-9939

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› Verified 9 days ago


Social Worker in Gresham, OR

Matthew Joseph Bartolotti, LSCW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 400 Ne 7th St, Gresham, OR 97030
Phone: 503-489-2236    
Ryely Wilpone, MSW, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 600 Ne 8th St, Gresham, OR 97030
Phone: 503-988-5155    Fax: 503-988-5185
Jamie Nash-sedda,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2970 Ne 7th St, Gresham, OR 97030
Phone: 509-863-4560    
James Macleod,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4101 Ne Division St, Gresham, OR 97030
Phone: 971-284-1963    
Alyssa Wirthlin,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 400 Ne 7th St, Gresham, OR 97030
Phone: 503-661-5455    
Christen Skolnick, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 24988 Se Stark St Ste 140, Mail Code: Cmng, Gresham, OR 97030
Phone: 971-262-9806    Fax: 971-262-9501
Colette Renee Deleon, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1217 Ne Burnside Rd, Building B Suite 401, Gresham, OR 97030
Phone: 503-666-8832    Fax: 503-669-8641

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