Ms Suzan Diane Kingma, LCSW - Clinical Social Worker in Clackamas, OR

Ms Suzan Diane Kingma, LCSW is a Social Worker - Clinical based in Clackamas, Oregon. Ms Suzan Diane Kingma is licensed to practice in Oregon (license number L3709) and her current practice location is 9800 Se Sunnyside Rd, Clackamas, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 652-2880.

NPI number for Ms Suzan Diane Kingma is 1194968172 and her current mailing address is 9583 Se Denali Dr, Happy Valley, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194968172.

Contact Information

Ms Suzan Diane Kingma, LCSW
9800 Se Sunnyside Rd,
Clackamas, OR 97015-9750
(503) 652-2880
Not Available



Healthcare Provider's Profile

Full NameMs Suzan Diane Kingma
GenderFemale
SpecialitySocial Worker - Clinical
Location9800 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194968172
  • Provider Enumeration Date: 04/07/2009
  • Last Update Date: 04/07/2009

Medical Identifiers

Medical identifiers for Ms Suzan Diane Kingma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194968172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical L3709 (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 Suzan Diane Kingma 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
Ms Suzan Diane Kingma, LCSW
9583 Se Denali Dr,
Happy Valley, OR 97086-7307

Ph: (503) 954-2904
Ms Suzan Diane Kingma, LCSW
9800 Se Sunnyside Rd,
Clackamas, OR 97015-9750

Ph: (503) 652-2880

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› Verified 6 days ago


Social Worker in Clackamas, OR

Emily Marie Ketola, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015
Phone: 503-794-3830    Fax: 503-794-3850
Mrs. Rachel Lela Cochenour, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-571-4122    
Roxanne Marie Jackson, MSW, CSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10151 Se Sunnyside Rd Ste 480, Clackamas, OR 97015
Phone: 503-739-8321    
Ms. Shirley Nord, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-571-4757    Fax: 503-571-8342
Mrs. Riley Anne Carroll, CSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-652-2880    
Ms. Starla Sue Mccullar, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10180 Se Sunnyside Rd, Social Work, Clackamas, OR 97015
Phone: 503-571-4750    
Mr. Johnny Corrace Walker, M.S.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015
Phone: 503-653-3451    

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