Kristen Shrader, CSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A13309 Issued in OR

Practice address

1675 Winter St NE
Salem, OR 97301-7152

Phone

(503) 585-0351

NPI assigned

Nov 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Options Counseling Services of Oregon

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1548275217
  Medicare reassignment
• New Perspectives Center for Counseling & Therapy

  • Mental Health Counselor
  • Salem, OR
  • NPI 1063462281
  NPD
• Liberty House

  • Pediatrics Physician
  • Salem, OR
  • NPI 1639244056
  NPD (past)
• Children'S Nurturing Project

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1720424351
  NPD (past)
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD (past)

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1134429442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7497",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973030151",
            "telephone_number": "503-585-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WINTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017152",
            "telephone_number": "503-585-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRADER",
        "first_name": "KRISTEN",
        "credential": "CSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A13309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Shores, LPN
• Jonah Short-Miller, PA-C
• Doreen Short, RN
• Dawn Kay Shoultz, RN
• Hope Marie Shrader Sherman, PHARMD
• Bijaya Krishna Shrestha, M.D
• Sarah Shrestha, FNP
• James Thomas Shrewsbury, PHD, MSW, LCSW
• Shruti Jadeja, DDS, LLC
• Hannah Shuholm

• Clinical Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.