Henri Shields, LCSW, CADCIII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7668 Issued in OR

Practice address

1113 June St
Hood River, OR 97031-1512

Phone

(541) 292-4777

NPI assigned

Jul 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Insight Haven LLC

  • Clinical Psychologist
  • Portland, OR
  • NPI 1629793880

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1265745624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CAMEO DR",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970316711",
            "telephone_number": "541-292-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 JUNE ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311512",
            "telephone_number": "541-292-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14511 Westlake Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970357783",
            "country_code": "US",
            "telephone_number": "541-292-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "HENRI",
        "credential": "LCSW, CADCIII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "09-12-64U",
            "primary": false
        },
        {
            "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": "L7668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Shannon, MD
• Shauna Carter Massage Therapy LLC
• Evelyn Rae Shaw
• Melissa A Shays, ND, LAC
• Taunesha Shelton
• Rebekah Jean Sieloff
• Amanda Rose Sievers
• Katherine Alice Silva, L.M.T.
• Janet R. Sjoblom, MD
• Leah Alexandra Sklader Yost, MA

• Clinical Social Worker in Hood River, OR
• Providers in Hood River, 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 Apr 10, 2024; 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.