Sandra L. Stradley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

OR012 Issued in OR

Practice address

1645 Liberty St SE
Salem, OR 97302-4347

Phone

(503) 588-2155

Fax

(503) 588-5327

NPI assigned

Aug 31, 2006

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, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid Valley Counseling Center IncGroup PAC ID 2769479948, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mid Valley Counseling Center Inc

  • Clinical Psychologist
  • Salem, OR
  • NPI 1407039308
  Medicare reassignment Care Compare group
• Sandra L. Stradley, LCSW, PC

  • Clinical Social Worker
  • Salem, OR
  • NPI 1548501240
  NPD (past) Authorized official
• John B. Milnes, MSW PC

  • Clinical Social Worker
  • Salem, OR
  • NPI 1508107293
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1245341148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024347",
            "telephone_number": "503-588-2155",
            "fax_number": "503-588-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024347",
            "telephone_number": "503-588-2155",
            "fax_number": "503-588-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADLEY",
        "first_name": "SANDRA",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "OR012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikole Stormo
• Andrea Zeug Stout, M.D.
• Emily Danielle Stout
• Alicia Stover
• Andrew Stover, PSY.D.
• Stacy Burton Straight, CSWA
• Floyd Strand, M.D.
• Suzanne Forman Strand, DO
• Charity Grae Strange
• Genevieve Rooth Strange, PSY.D.

• 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 Jan 3, 2017; 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.