Organization Active NPI

Stephani Shaver LCSW LLC

  • Clinical Social Worker
  • Lake Oswego, OR
National Provider Identifier
1306068424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3579 Issued in OR
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.