Individual provider Active NPI

Amanda Evans Sloan, LCSW

  • Clinical Social Worker
  • Grants Pass, OR
National Provider Identifier
1861771073
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4285 Issued in OR
Practice address
777 NE 7TH St Ste 220
Grants Pass, OR 97526-1632
Phone
(541) 476-1900
Fax
(541) 476-1021
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L4285 OR Primary

Addresses

Primary practice location

777 NE 7TH St Ste 220
Grants Pass, OR 97526-1632

Mailing address

777 NE 7TH St Ste 220
Grants Pass, OR 97526-1632
Phone (541) 476-1900

Other names 1

  • Ms. Amanda Evans Stevenson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L4285ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Baker, D.C. P.C. CurrentSince Oct 1, 2017 Accepting new patients
Options for Southern Oregon Past Accepting new patients

Locations

333 SW 5th St
Ste B
Grants Pass, OR 97526
Phone (541) 471-0397

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1861771073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NE 7TH ST STE 220",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261632",
            "telephone_number": "541-476-1900",
            "fax_number": "541-476-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NE 7TH ST STE 220",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261632",
            "telephone_number": "541-476-1900",
            "fax_number": "541-476-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "AMANDA",
        "middle_name": "EVANS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STEVENSON",
            "middle_name": "EVANS",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.