NPI 1114137494 MS. GLADYS SHADE QMHP, LCSW NORTH BEND OR. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

NPI Look Up

Ms. Gladys Shade - NPI: 1114137494

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MS. GLADYS SHADE
NPI Number: 1114137494
Entity Type Code: Individual (1)
Gender: F
Credentials: QMHP, LCSW
License Number: 3124
Business Practice Address: 1890 Waite St
Suite 1 North Bend, OR - 974591229
Business Phone Number: 5417566232
Business Fax Number: 5417566234
Mailing Address: 1890 Waite St, Suite 1
NORTH BEND
State: OR
Postal Code: 974591229
Phone Number: 5417566232
Fax Number: 5417566234
NPI Enumeration Date: 05/23/2007
NPI Last Update Date: 12/02/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1041C0700X
License Number: 3124
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OR
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Social Worker
Taxonomy Specialization: Clinical
Taxonomy Definition:
A social worker who holds a master


NPI Number Lookup by City
(For Example: San Jose)


© Npinolookup.com 2016
Disclaimer