Michelle L Krummenacker, LCSW, CADC-III, CRM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3197 Issued in OR

Practice address

9123 SE Saint Helens St Ste 100F
Clackamas, OR 97015-6800

Phone

(503) 740-1971

Fax

(503) 771-2436

NPI assigned

Jul 31, 2006

Last updated

Nov 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chaise Group LLCGroup PAC ID 7911006929, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chaise Group, LLC

  dba IHC Associates

  • Multi-Specialty Clinic/Center
  • Clackamas, OR
  • NPI 1073720017

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Chaise Group, LLC

  dba Awellera

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clackamas, OR
  • NPI 1063962579
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793923200000",
    "number": "1124033618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 SE SUNNYSIDE RD STE F1217",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157708",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 SE SAINT HELENS ST STE 100F",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156800",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 NE Burnside Rd Ste 701",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970305770",
            "country_code": "US",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14355 N Bybee Lake Ct",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972036495",
            "country_code": "US",
            "telephone_number": "503-740-1971",
            "fax_number": "503-771-2436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUMMENACKER",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "LCSW, CADC-III, CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "98-07-34",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3197",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "26-CRM-5540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Krebs, AU.D
• Deanna Marie Krein
• Angela Nicole Kreps, MS-NURSE ANESTHESIA
• Randy D. Kreps, M.D.
• Peter Krull, DPT
• Paul Gerard Krummenacker, CRM
• John L Krump, DDS
• Kristin Kruskamp, PHARMD
• Mary N Kudoja, FNP-BC
• Ritu Kumar, MD

• Clinical Social Worker in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.