Individual provider Active NPI

Michelle Sprouffske, MSW, LCSW

  • Clinical Social Worker
  • La Grande, OR
National Provider Identifier
1407255441
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6839 Issued in OR
Practice address
1705 Z Ave
La Grande, OR 97850-3702
Phone
(541) 799-0107
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 6839 OR Primary

Addresses

Primary practice location

1705 Z Ave
La Grande, OR 97850-3702

Mailing address

1705 Z Ave
La Grande, OR 97850-3702
Phone (541) 799-0107

Other identifiers 1

IdentifierTypeStateIssuer
500726247MedicaidOR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180719001327 OR Practitioner - Clinical Social Worker 7315294543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6839ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steps to Change, LLC Clinical CurrentSince Jul 12, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1407255441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 Z AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503702",
            "telephone_number": "541-799-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 Z AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503702",
            "telephone_number": "541-799-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUFFSKE",
        "first_name": "MICHELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "6839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500726247",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

Verify at the official NPI Registry.