NPIMap

Organization Active NPI

Sandra L. Stradley, LCSW, PC

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1548501240
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
012 Issued in OR
Legal business name
SANDRA L. STRADLEY, LCSW, PC
Practice address
1645 Liberty St SE
Salem, OR 97302-4347
Phone
(503) 588-2155
NPI assigned
Mar 6, 2013
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Sandra L Stradley, LCSWNPI 1245341148
Title
President
Phone
(503) 588-2155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 012 OR Primary

Addresses

Primary practice location

1645 Liberty St SE
Salem, OR 97302-4347

Mailing address

1645 Liberty St SE
Salem, OR 97302-4347
Phone (503) 588-2155

National Provider Directory

National Provider Directory

Locations

1645 Liberty St SE
Salem, OR 97302
Phone (503) 399-8518

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1548501240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024347",
            "telephone_number": "503-588-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024347",
            "telephone_number": "503-588-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L. STRADLEY, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "STRADLEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-588-2155",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.