Active NPI
Stephani Shaver LCSW LLC
- Clinical Social Worker
- Lake Oswego, OR
National Provider Identifier
1306068424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L3579
- Legal business name
- STEPHANI SHAVER LCSW LLC
- Practice address
- 15110 Boones Ferry Rd
#220
Lake Oswego, OR 97035-3468 - Phone
- (503) 675-2830
- NPI assigned
- May 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Stephani Shaver, LCSW
- Title
- Owner
- Phone
- (503) 675-2830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L3579 | OR | Primary |
Addresses
Primary practice location
15110 Boones Ferry Rd
#220
Lake Oswego, OR 97035-3468
Mailing address
15110 Boones Ferry Rd
#220
Lake Oswego, OR 97035-3468
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306068424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15110 BOONES FERRY RD",
"address_2": "#220",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15110 BOONES FERRY RD",
"address_2": "#220",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353468",
"telephone_number": "503-675-2830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANI SHAVER LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHAVER",
"authorized_official_first_name": "STEPHANI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-675-2830",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L3579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.