KACY JO DESROSIERS
KACY JO VOCKRODT · Case Manager/Care Coordinator

Address: 2330 Ne Siskiyou St, Portland, OR 97212-2471

KACY JO DESROSIERS (NPI# 1548854698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548854698
Entity Type Individual
Full Name KACY JO DESROSIERS
Other Name KACY JO VOCKRODT (Former Name)
Gender Female
Practice Address 2330 Ne Siskiyou St
Portland
OR 97212-2471
Practice Telephone 5038892500
Mailing Address Po Box 8459
Portland
OR 97207-8459
Mailing Telephone 5032380769
Certification Date 2021-03-01
Enumeration Date 2021-03-01
Last Update Date 2021-03-01
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 2330 NE SISKIYOU ST
City PORTLAND
State OR
Zip Code 97212-2471

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639765340 Amanda Michelle Olecki Technician · Personal Care Attendant 2330 Ne Siskiyou St, Portland, OR 97212-2471 2020-12-16
1619570629 Anamika J S Vaughan Case Manager/Care Coordinator 2330 Ne Siskiyou St, Portland, OR 97212-2471 2020-11-20
1689276792 Erin Huffman Moore · Erin F. Huffman Registered Nurse · Psychiatric/Mental Health 2330 Ne Siskiyou St, Portland, OR 97212-2471 2020-11-12
1316545056 Cash A Crouse Technician · Personal Care Attendant 2330 Ne Siskiyou St, Portland, OR 97212-2471 2020-10-14
1134726748 Alexus Elisa Garcia Registered Nurse 2330 Ne Siskiyou St, Portland, OR 97212-2471 2020-10-06
1568069177 Zachary Edward Forsyth Technician · Personal Care Attendant 2330 Ne Siskiyou St, Portland, OR 97212-2471 2020-10-06
1669079786 Devin Westby Diver Case Manager/Care Coordinator 2330 Ne Siskiyou St, Portland, OR 97212-2471 2020-10-01
1750988978 Nathan Charles Miller Case Manager/Care Coordinator 2330 Ne Siskiyou St, Portland, OR 97212-2471 2020-10-01
1508474099 Tebelnesh Nigist Worku Registered Nurse 2330 Ne Siskiyou St, Portland, OR 97212-2471 2020-07-21
1679199087 Joseph H Box Case Manager/Care Coordinator 2330 Ne Siskiyou St, Portland, OR 97212-2471 2020-06-22
Find all providers in the same address

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1205423704 Oregon Cvs Pharmacy LLC · Cvs Pharmacy#11392 Pharmacy · Community/Retail Pharmacy 1821 Ne 33rd Avenue, Portland, OR 97212 2020-12-30
1497223051 Shira Dennis Behavior Analyst 3424 Ne Tillamook St., Portland, OR 97212 2018-11-12
1588139711 Lindsay Rosenfeld Counselor 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212 2018-10-03
1427537125 Nicole Taylor Counselor · Addiction (Substance Use Disorder) 2318 Ne Mlk Blvd, Portland, OR 97212 2018-08-13
1295239168 Annemieke Clark Nurse Practitioner · Psychiatric/Mental Health 3716 Ne Mlk Jr Blvd, Portland, OR 97212 2018-03-23
1659890317 Cidnee Potter Doula 2915 Ne Mlk Jr Blvd, Portland, OR 97212 2017-09-14
1588194187 Ann M Staple Counselor · Mental Health 2905 Ne Tillamook St, Portland, OR 97212 2017-06-15
1699205773 Cemented Rose Therapeutics, LLC Social Worker · Clinical 333 Ne Russell St, Portland, OR 97212 2017-06-12
1780129502 Noelle Denise King Naturopath 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 2017-01-03
1285085100 Jessica Battin Massage Therapist 2310 Ne 8th Ave #2, Portland, OR 97212 2016-06-22
Find all providers in zip 97212

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrolleeā€™s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124613104 David Ochan 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 2021-03-02
1467046045 Joseph Daniel Westfall 5415 Sw Westgate Dr, Portland, OR 97221-2409 2021-02-24
1013509009 Karina Maria Pacheco 3415 Se Powell Blvd, Portland, OR 97202-3371 2021-02-10
1679162218 Alexis Black 847 Ne 19th Ave, Portland, OR 97232-2684 2021-01-17
1831786698 Esther Gathiaka 7759 Se 72nd Ave, Portland, OR 97206-7921 2020-12-28
1205422409 Kylie M Late 7104 Se Tolman St, Portland, OR 97206-6565 2020-12-12
1750985784 Lusine Dyachenko-Arakelyan 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 2020-11-30
1619570629 Anamika J S Vaughan 2330 Ne Siskiyou St, Portland, OR 97212-2471 2020-11-20
1518568575 Hayden Comphel 3036 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 2020-11-05
1245830371 Alec David Bondietti 9125 Sw 55th Ave, Portland, OR 97219-5018 2020-10-28
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.