Craig John Seablom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3511 Issued in OR

Practice address

2507 Christie Dr
Lake Oswego, OR 97036-0368

Phone

(503) 380-7607

Fax

(503) 697-6932

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Options Counseling Services of OregonGroup PAC ID 1658674197, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Options Counseling Services of Oregon

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1548275217
  Medicare reassignment Care Compare group NPD
• Christiecare

  • Psychiatric Residential Treatment Facility
  • Marylhurst, OR
  • NPI 1881637809
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679629802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "MARYLHURST",
            "state": "OR",
            "postal_code": "970360368",
            "telephone_number": "503-380-7607",
            "fax_number": "503-697-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 CHRISTIE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970360368",
            "telephone_number": "503-380-7607",
            "fax_number": "503-697-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABLOM",
        "first_name": "CRAIG",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Charles Schutte, LMFT
• Nicole Schwecke, LMT
• Ashley Scott, PTA
• Howenda J Scott
• Cassandra Scroppo
• Jenney Lanae Seale, LMT
• Melanie Sicard Seaman, MT (ASCP)
• Robert Wesley Seapy, MD
• Alyssa Seger, LMHC
• Gabriella Marie Seibert

• Clinical Social Worker in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.