Gladys Shade, QMHP, LCSW

ActiveIndividual ProviderClinical Social Worker
NPI issued: May 23, 2007

Quick Facts

NPI Number
1114137494
TypeIndividual
StatusActive
SpecialtyClinical Social Worker
Taxonomy1041C0700X — Clinical Social Worker
Phone
(541) 756-6232
StateOR

NPI Validation Status: Verified

Valid 10-digit NPI number (1114137494)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 23, 2007)
Data source: CMS NPPES

Provider Overview

GLADYS SHADE, QMHP, LCSW is a Clinical Social Worker provider based in North Bend, OR who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1114137494
Provider TypeIndividual Provider
GenderFemale
CredentialQMHP, LCSW
StatusActive
Enumeration DateMay 23, 2007

Practice Location

CityNorth Bend
StateOR
ZIP Code97459-1229
Phone(541) 756-6232

Specialties & Licenses

★ Primary
SpecialtyClinical Social Worker
Taxonomy Code1041C0700X
License StateOR

Mailing Address

CityNorth Bend
StateOR
ZIP Code97459-1229
Phone(541) 756-6232
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1114137494 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1114137494for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1114137494 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Clinical Social Worker

Clinical Social Workers provide counseling, therapy, and support services to diagnose and treat mental, behavioral, and emotional disorders, often advocating for clients' access to social resources.

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315,777
Clinical Social Worker Providers in the US

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People Also Ask

What is Gladys Shade's NPI number?
Gladys Shade's NPI number is 1114137494, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Gladys Shade's NPI currently active?
Yes, Gladys Shade's NPI status is Active as of the latest CMS NPPES database updates.
What does Gladys Shade specialize in?
Gladys Shade specializes in Clinical Social Worker. The healthcare taxonomy code associated with this specialty is 1041C0700X.
Where does Gladys Shade practice?
Gladys Shade practices in North Bend, OR 97459-1229.
When was Gladys Shade's NPI issued?
Gladys Shade's NPI was issued on May 23, 2007.
What is Gladys Shade's provider type?
Gladys Shade is registered as an Individual Provider under CMS NPI Type 1.