Individual provider Active NPI

Deirdre Simpson-Rhoads, LCSW

  • Clinical Social Worker
  • Cottage Grove, OR
National Provider Identifier
1417496316
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11324 Issued in OR
Practice address
1440 Birch Ave Ste 8
Cottage Grove, OR 97424-1417
Phone
(541) 801-3808
Fax
(360) 844-5184
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 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 L11324 OR Primary

Addresses

Primary practice location

1440 Birch Ave Ste 8
Cottage Grove, OR 97424-1417

Mailing address

1440 Birch Ave Ste 8
Cottage Grove, OR 97424-1417
Phone (541) 801-3808

Other practice location 1

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (417) 675-2005

Other identifiers 1

IdentifierTypeStateIssuer
500720823MedicaidOR

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
I20230426001519 OR Practitioner - Clinical Social Worker 8820453814 Reassigns benefits to 3 organizations
Practice locations: Cottage Grove, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1440 Birch Ave
Cottage Grove, OR 97424-1417
Phone (224) 381-9141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Interior Intentions (Dba In2Aging Clinical CurrentSince Jun 1, 2024 Accepting new patients
Peacehealth CurrentSince Aug 24, 2024 Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince Aug 28, 2023 Accepting new patients
South Lane Mental Health Services, Inc PastSince May 30, 2019 Accepting new patients
Orchid Oakridge Clinic, P.C. PastSince Aug 1, 2022 Accepting new patients

Locations

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

38843 Dexter Rd
Dexter, OR 97431
Phone (541) 767-5200

35859 Highway 58
Pleasant Hill, OR 97455
Phone (541) 767-5200

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1417496316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 BIRCH AVE STE 8",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241417",
            "telephone_number": "541-801-3808",
            "fax_number": "360-844-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 BIRCH AVE STE 8",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241417",
            "telephone_number": "541-801-3808",
            "fax_number": "360-844-5184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974249700",
            "country_code": "US",
            "telephone_number": "417-675-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON-RHOADS",
        "first_name": "DEIRDRE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500720823",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, OR

Sources for this page

Verify at the official NPI Registry.