Individual provider Active NPI

Elizabeth C Scheeler, LCSW

  • Clinical Social Worker
  • Pendleton, OR
National Provider Identifier
1366830879
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7909 Issued in OR
Practice address
920 SW Frazer Ave Ste 111
Pendleton, OR 97801-2800
Phone
(541) 969-9195
NPI assigned
Jan 6, 2015
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L7909 OR Primary

Addresses

Primary practice location

920 SW Frazer Ave Ste 111
Pendleton, OR 97801-2800

Mailing address

43395 Heavens LN
Pendleton, OR 97801-9490
Phone (541) 969-9195

Other names 1

  • Elizabeth Connelly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L7909ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Scheeler Counseling, LLC CurrentSince Dec 1, 2019 Accepting new patients
All Heart Counseling Services PastSince Oct 1, 2019 Accepting new patients
Osoa Therapy Clinical PastSince Oct 1, 2019 Accepting new patients

Locations

920 SW Frazer Ave
Ste 111
Pendleton, OR 97801
Phone (541) 215-4557

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1366830879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43395 HEAVENS LN",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978019490",
            "telephone_number": "541-969-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW FRAZER AVE STE 111",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012800",
            "telephone_number": "541-969-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEELER",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CONNELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.