MEDICARE: MS. ANDREA GRACE KARPINSKI MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1982897898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA GRACE KARPINSKI MSW, LCSW

Provider Business Mailing Address
First Line	:	2517 SE 37TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97202-1525
Country	:	US
Telephone Number	:	503-975-5665
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 SE ALDER ST STE 301
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-2400
Country	:	US
Telephone Number	:	503-975-5665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	10/07/2022

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