Active NPI
Shannon Rachel McGrath, LCSW
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1134645302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L8568
- Practice address
- 66 Club Rd Ste 120
Eugene, OR 97401-2439 - Phone
- (541) 393-5983
- Fax
- (541) 393-5984
- NPI assigned
- Aug 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | L8568 | OR | Primary |
Addresses
Primary practice location
66 Club Rd Ste 120
Eugene, OR 97401-2439
Mailing address
66 Club Rd Ste 120
Eugene, OR 97401-2439
Phone (541) 393-5983
Other practice location 1
1170 Pearl St
Eugene, OR 97401-3541
Phone (541) 743-4340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 7, 2024 through Feb 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8568 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oslc Community Programs | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Eugene, OR
- NPI 1295747186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1134645302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 CLUB RD STE 120",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012439",
"telephone_number": "541-393-5983",
"fax_number": "541-393-5984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 CLUB RD STE 120",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012439",
"telephone_number": "541-393-5983",
"fax_number": "541-393-5984"
}
],
"practiceLocations": [
{
"address_1": "1170 Pearl St",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974013541",
"country_code": "US",
"telephone_number": "541-743-4340",
"fax_number": "541-743-4369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGRATH",
"first_name": "SHANNON",
"middle_name": "RACHEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L8568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.