Stephani Jene Shaver, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3579 Issued in OR

Practice address

9 Monroe Pkwy Ste 270
Lake Oswego, OR 97035-8866

Phone

(503) 675-2830

Fax

(503) 675-2852

NPI assigned

Apr 20, 2007

Last updated

Jul 5, 2024By the provider in NPPES

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Linda C Estergard PHD LCSW PCGroup PAC ID 9436241759, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Linda C Estergard, PHD, LCSW, PC

  dba Lake Oswego Counseling Center

  • Clinical Psychologist
  • Lake Oswego, OR
  • NPI 1962625335
  Medicare reassignment Care Compare group
• Stephani Shaver LCSW LLC

  • Clinical Social Worker
  • Lake Oswego, OR
  • NPI 1306068424
  Authorized official Same address or phone

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1285851154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 270",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358866",
            "telephone_number": "503-675-2830",
            "fax_number": "503-675-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 270",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358866",
            "telephone_number": "503-675-2830",
            "fax_number": "503-675-2852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15110 Boones Ferry Rd",
            "address_2": "#220",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970353468",
            "country_code": "US",
            "telephone_number": "503-675-2830",
            "fax_number": "503-675-2852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "STEPHANI",
        "middle_name": "JENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ulyana V Seryankina, LMT
• Jeffrey David Sessions, D.M.D.
• Seth S Williams PSYD LLC
• Cameron Seymour
• Maha Sabah Shakir, M.D.
• Kandi Denise Shearer, M.S.
• Melinda Anne Shearer, DPT
• Chera Sheets, RT
• Susan Shelbourne, LPC
• Susan Kay Shelton, PTA

• Clinical Social Worker in Lake Oswego, OR
• Providers in Lake Oswego, 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 Jul 5, 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.