Individual provider Active NPI

Matthew Edward Grady, LCSW CADC III

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1811951569
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3658 Issued in OR
Practice address
1675 Winter St NE
Salem, OR 97303
Phone
(503) 585-0351
Fax
(503) 585-0212
NPI assigned
Apr 12, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 031171 OR
Clinical Social Worker 1041C0700X L3658 OR Primary

Addresses

Primary practice location

1675 Winter St NE
Salem, OR 97303

Mailing address

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone (503) 879-2060

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
I20080214000082 OR Practitioner - Clinical Social Worker 7911080999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9615 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone (503) 879-2007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031171ORMDAddiction (Substance Use Disorder) Counselor
L3658ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of the Grand Ronde Community of Oregon Addiction (Substance Use Disorder) CurrentSince Sep 3, 2021 Accepting new patients
Confederated Tribes of the Grand Ronde Community of Oregon CurrentSince Sep 3, 2021 Accepting new patients
Confederated Tribes of Grand Ronde Community of Oregon Dba GR Health & Past Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical Past Accepting new patients

Locations

9605 Grand Ronde Rd
Grand Ronde, OR 97347
Phone (503) 879-2002

9615 Grand Ronde Rd
Grand Ronde, OR 97347
Phone (503) 879-2002

Interoperability endpoints

  • Direct secure messaging: matthew.grady.p1@direct.grandronde.nextgenshare.com

Organizations & group practices 4

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811951569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 GRAND RONDE RD",
            "city": "GRAND RONDE",
            "state": "OR",
            "postal_code": "973479712",
            "telephone_number": "503-879-2060",
            "fax_number": "503-879-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WINTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97303",
            "telephone_number": "503-585-0351",
            "fax_number": "503-585-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "credential": "LCSW CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-07-13",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "031171",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.