Kristal L. Foskey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4323 Issued in OR

Practice address

11895 SW Greenburg Rd
Tigard, OR 97223-6450

Phone

(503) 726-3728

Fax

(503) 726-3729

NPI assigned

Dec 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Narrative

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tigard, OR
  • NPI 1265595664
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1386889053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 SW 69TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972239103",
            "telephone_number": "503-726-3728",
            "fax_number": "503-726-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11895 SW GREENBURG RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236450",
            "telephone_number": "503-726-3728",
            "fax_number": "503-726-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSKEY",
        "first_name": "KRISTAL",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "4323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaianna Ford
• Jaelithe Azure Formway-Nelson
• Shauna Forrester, LPN
• Cynthia Marie Forst, OTR/L
• Miriam Fosburgh, RDH
• Alisia Foster
• Anthony Miles Foster
• Dawn Foster, MS, LPC
• Kloee Jean Foster
• Terese R Foster, PA-C

• Clinical Social Worker in Tigard, OR
• Providers in Tigard, 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 Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.