Shane Stephen McDaniel, MSW, CSWA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

A3638 Issued in OR

Practice address

182 SW Academy St
Suite 304
Dallas, OR 97338-1922

Phone

(503) 623-1886

Fax

(503) 623-7560

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1457478331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "address_2": "SUITE 304",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381922",
            "telephone_number": "503-623-1886",
            "fax_number": "503-623-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "address_2": "SUITE 304",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381922",
            "telephone_number": "503-623-1886",
            "fax_number": "503-623-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "SHANE",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "MSW, CSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A3638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Ashlynn Martin
• Corina Isabel Martinez
• Gloria Martinis
• Olivia Kay Maruame
• Brandy Renee Matus, LPN
• Jessica McGuigan, MSW
• Nicole Renee McKibben, LMT
• Mari Meador, BS
• Linda L Melseth, LMHC
• Abbey Mendenhall

• Social Worker in Dallas, OR
• Providers in Dallas, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.