Kristen Colleen McCaffrey Fourcade, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1407 E 18TH St
The Dalles, OR 97058-3255

Phone

(541) 600-4451

NPI assigned

Jul 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

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 and National Provider Directory roles.

• Mid-Columbia Center for Living

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • The Dalles, OR
  • NPI 1699745794

  Social Worker

  Medicare reassignment NPD
• Inner Sight Counseling, LLC

  • Clinical Social Worker
  • The Dalles, OR
  • NPI 1902411945
  NPD Authorized official
• Mid-Columbia Center for Living

  • Community/Behavioral Health Agency
  • The Dalles, OR
  • NPI 1275954513
  NPD
• Cascadia Health

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1568531952
  NPD (past)
• Mid-Columbia Center for Living

  • Community/Behavioral Health Agency
  • Hood River, OR
  • NPI 1831510155
  NPD (past)

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1265720924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 E 18TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583255",
            "telephone_number": "541-600-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 E 18TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583255",
            "telephone_number": "541-600-4451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13317 SE Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972363335",
            "country_code": "US",
            "telephone_number": "503-760-9606",
            "fax_number": "503-760-9609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 Woods Ct",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "97031",
            "country_code": "US",
            "telephone_number": "541-386-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOURCADE",
        "first_name": "KRISTEN",
        "middle_name": "COLLEEN MCCAFFREY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Maria Flores Mendiola
• Charles R Ford, MD
• David Christain Ford, MD
• Alice Myra Forsythe, MD
• Mica Vonne Foster, DC
• Rebecca Diane Fox, RN, MSN
• Fred Meyer Stores Inc
• Deborah French, M.A. L.P.C.
• Maura Frith, CRNA
• Carmen Frost, PEER SUPPORT

• Social Worker in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.