Scott Matthew Hyde, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L11717 Issued in OR

Practice address

432 NW 6TH St Ste 206
Grants Pass, OR 97526-2054

Phone

(541) 295-5707

NPI assigned

Sep 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Scott Hyde Counseling

  • Clinical Social Worker
  • Grants Pass, OR
  • NPI 1053179945
  NPD Authorized official

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1275174450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 WALNUT AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975279678",
            "telephone_number": "541-295-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 NW 6TH ST STE 206",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262054",
            "telephone_number": "541-295-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "SCOTT",
        "middle_name": "MATTHEW",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "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": "L11717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Kathleen Hurst
• Arthur Andrew Husband
• Delmar Hussey
• Jacquelyn Hutchings, FNP
• Mary Jo Hutchinson, RN
• Kimberly Jean Ibarra
• Andrea M Igl
• Amber Ihander, PA-C
• Halil Omer Ikizler, MD
• Impact Physical Therapy, LLC

• Clinical Social Worker in Grants Pass, OR
• Providers in Grants Pass, 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 6, 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.