MS. GLADYS SHADE QMHP, LCSW
NPI 1114137494
Social Worker - Clinical in North Bend, OR
NPI Status: Active since May 23, 2007
Contact Information
1890 WAITE ST
SUITE 1
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-6232
Fax: (541) 756-6234
- Individual
- Female
- Social Worker
- Clinical
About GLADYS SHADE
This page provides the complete NPI Profile along with additional information for Gladys Shade, a provider established in North Bend, Oregon with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1114137494 assigned on May 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 3124 (OR). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1114137494
- Provider Name
- MS. GLADYS SHADE QMHP, LCSW
- Other Name
- MS. ALEX SHADE
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1890 WAITE ST SUITE 1 NORTH BEND, OR 97459
- Location Phone
- (541) 756-6232
- Location Fax
- (541) 756-6234
- Mailing Address
- 1890 WAITE ST SUITE 1 NORTH BEND, OR 97459
- Mailing Phone
- (541) 756-6232
- Mailing Fax
- (541) 756-6234
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2007
- Last Update Date
- 12-02-2008
- Code Navigator
A clinical social worker like Gladys Shade is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3124
- License State
- OR
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1619915113 | OTHER (01) | OR | GROUP NUMBER NPI |
| R142063 | OTHER (01) | OR | MEDICARE PTAN |
| R120353 | OTHER (01) | PTAN | |
| 381902 | MEDICARE OSCAR/CERTIFICATION (06) | OR | |
| 213342 | MEDICAID (05) | OR |
Reviews for MS. GLADYS SHADE QMHP, LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 1 | 3 | 7 | 4 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 2 | 3 | 14 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 2 + 3 + 1 + 4 + 4 + 1 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1114137494 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316921646 | INNOVATIVE PHYSICAL THERAPY, INC Organization | Physical Therapist | 1890 WAITE ST SUITE 5 NORTH BEND, OR 97459 (541) 756-4941 |
| 1780627166 | MRS. MARIA G. MALDONADO F.N.P. Individual | Nurse Practitioner (Family) | 1890 WAITE ST SUITE1 NORTH BEND, OR 97459 (541) 756-6232 |
| 1518164201 | ASTRID DIEPENBROEK RDH LIMITED ACCESS Individual | Dental Hygienist | 1890 WAITE ST SUITE 1 NORTH BEND, OR 97459 (541) 756-6232 |
| 1891978763 | MRS. JUDITH MYRICK RANDALL ARNP Individual | Nurse Practitioner (Family) | 1890 WAITE ST STE 1 NORTH BEND, OR 97459 (541) 756-6232 |
| 1477718419 | LAURA JEAN BURNSIDE-MCELLIGOTT Individual | Nurse Practitioner (Family) | 1890 WAITE ST STE 1 NORTH BEND, OR 97459 (541) 756-6232 |
| 1932150471 | CYNTHIA LOUISE HOLMES PA-C Individual | Physician Assistant | 1890 WAITE ST SUITE 1 NORTH BEND, OR 97459 (541) 756-6232 |
| 1629366216 | MS. CATHLEEN MARIE DELIBERO L.P.C. Individual | Counselor (Mental Health) | 1890 WAITE ST NORTH BEND, OR 97459 (541) 756-6232 |
| 1619915113 | WATERFALL CLINIC INCORPORATED Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1890 WAITE ST SUITE 1 NORTH BEND, OR 97459 (541) 756-6232 |
| 1043719990 | SHU-WEN CHENG Individual | Nurse Practitioner (Primary Care) | 1890 WAITE ST NORTH BEND, OR 97459 (541) 756-6232 |
| 1689141236 | MRS. TOYIN A AKANNI DNP- PMHNP BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1890 WAITE ST NORTH BEND, OR 97459 (541) 756-6232 |
| 1609560366 | ABIGAIL MARIE BLAKE RN Individual | Registered Nurse | 1890 WAITE ST NORTH BEND, OR 97459 (541) 756-6232 |
| 1902260524 | CHELSEA LEMMER Individual | Social Worker (Clinical) | 1890 WAITE ST NORTH BEND, OR 97459 (541) 756-6232 |
| 1447966437 | MRS. RACHAEL LORRAINE HILTON FNP-C Individual | Nurse Practitioner (Family) | 1890 WAITE ST NORTH BEND, OR 97459 (808) 498-9260 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114137494, enumerated in the NPI registry as an "individual" on May 23, 2007
The provider is located at 1890 Waite St Suite 1 North Bend, Or 97459 and the phone number is (541) 756-6232
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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