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Ms. Gladys Shade, QMHP,LCSW
Clinical Social Worker in North Bend, Oregon
NPI 1114137494

Gladys Shade is a Clinical Social Worker based in North Bend, OR and is specialized in Clinical. Gladys Shade practices in North Bend, OR and has the professional credentials of QMHP,LCSW. The NPI Number for Gladys Shade is 1114137494 and holds a License No. 3124 (Oregon).

The current practice location address for Gladys Shade is 1890 Waite St, North Bend, OR and can be reached out via phone at 541-756-6232 and via fax at 541-756-6234.

Location: 1890 Waite St, North Bend, OR, 97459-1229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114137494
Provider Name
Gladys Shade
Credential
QMHP,LCSW
Provider Entity Type
Individual
Gender
Female
Address
1890 Waite St, North Bend, OR, 97459-1229
Phone Number
541-756-6232
Fax Number
541-756-6234
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R142063 01 OR MEDICARE PTAN
1619915113 01 OR GROUP NUMBER NPI
R120353 01 PTAN
213342 05 OR
institution
Provider Business Practice Location Address Details
Address
1890 Waite St
City
North Bend
State
Oregon
Zip
97459-1229
Phone Number
541-756-6232
Fax Number
541-756-6234
person
Provider Business Mailing Address Details
Address
1890 Waite St
City
North Bend
State
Oregon
Zip
97459-1229
Phone Number
541-756-6232
Fax Number
541-756-6234
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
3124 (Oregon)
Definition
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.
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