Andrea Bearden, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ANDREA BEARDEN, LCSW

Practice address

201 W Main St Ste 1B
Medford, OR 97501-2744

Phone

(541) 499-5753

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Andrea Bearden, LCSWNPI 1770940223

Title

Owner

Phone

(541) 499-5753

Specialties & licenses 3

Addresses

Other names 1

• Southern Oregon Behavioral Health Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea N Bearden, LCSW, CADC III

  • Clinical Social Worker
  • Medford, OR
  • NPI 1770940223

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Victor Klodin, PH.D.

  • Clinical Psychologist
  • Medford, OR
  • NPI 1982732392
  NPD (past)

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735948800000",
    "number": "1013748748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 CREEK MONT DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048923",
            "telephone_number": "541-499-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST STE 1B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012744",
            "telephone_number": "541-499-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA BEARDEN, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-499-5753",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Oregon Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorna Diane Anderson
• Nora Gail Anderson
• Robert Patrick Anderson, DO
• Rochele Ellen Anderson, PHARMD
• Suzanne Anderson, ACNPC-AG
• Jennifer Andrews
• Stacey Andrews, FNP
• Patricia Ann Andries, NP
• Anesthesia Associates of Medford PC
• Anesthesia Services Medical Group, LLC

• Counselor in Medford, OR
• Providers in Medford, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.