Individual provider Active NPI

Heidi Christine Schelling, PH.D, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1427095215
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6117 Issued in OR
Practice address
1193 Pearl St
Eugene, OR 97401-3521
Phone
(612) 224-4000
NPI assigned
Jun 1, 2006
Last updated
Dec 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6117 OR Primary
Clinical Social Worker 1041C0700X 23167 MN
Clinical Social Worker 1041C0700X 19499 CA

Addresses

Primary practice location

1193 Pearl St
Eugene, OR 97401-3521

Mailing address

1193 Pearl St
Eugene, OR 97401-3521
Phone (612) 224-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: No
  • 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
I20190712002918 OR Practitioner - Clinical Social Worker 4981939998 Practice locations: Eugene, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
19499CAMDClinical Social Worker
23167MNMDClinical Social Worker
6117ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Hadley LCSW LLC PastSince Dec 26, 2021 Accepting new patients

Organizations & group practices 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1427095215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013521",
            "telephone_number": "612-224-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013521",
            "telephone_number": "612-224-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLING",
        "first_name": "HEIDI",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PH.D, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "6117",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23167",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "19499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.