CHAISE GROUP LLC NPI 1073720017

NPI Information

  • NPI: 1073720017
  • Provider Name: CHAISE GROUP, LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Doing Business As: IN-HOUSE COUNSELING
  • Address: 9123 SE SAINT HELENS ST STE 100F
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 740-1971

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NPI Details

CHAISE GROUP, LLC is a clinical social worker in Clackamas, OR. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. CHAISE GROUP, LLC NPI is 1073720017. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As In-house Counseling.

The provider's business location address is:

9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR
ZIP 97015-800
Phone: (503) 740-1971
Fax: (503) 771-2436

The provider's authorized official is Michelle Lee Krummenacker .
The authorized official title is Therapist And Owner and has the following contact phone number (503) 740-1971.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalL3197OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G8906704OTHERWASHINGTONPTAN
2R145204OTHEROREGONPTAN

What is NPI?

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This page was last updated on: 3/30/2025

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