Southern Oregon Mental Health Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7604 Issued in OR

Legal business name

SOUTHERN OREGON MENTAL HEALTH SERVICES, LLC

Practice address

328 S Central Ave Ste 211
Medford, OR 97501-7274

Phone

(541) 531-6312

Fax

(888) 281-8465

NPI assigned

Jul 12, 2018

Last updated

Jul 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Noel Chaney, LCSWNPI 1942580816

Title

Mental Health Therapist

Phone

(541) 531-6312

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Noel J Chaney

  • Mental Health Counselor
  • Medford, OR
  • NPI 1942580816
  NPD (past) Authorized official

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1932685963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4322",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010165",
            "telephone_number": "541-531-6312",
            "fax_number": "888-281-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S CENTRAL AVE STE 211",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017274",
            "telephone_number": "541-531-6312",
            "fax_number": "888-281-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "541-531-6312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942580816",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Oregon Friends of Hospice (Celia's House in Holmes Park)
• Southern Oregon Gynecology LLC
• Southern Oregon Hospitalists PC
• Southern Oregon Internal Medicine
• Southern Oregon Medical Clinic LLC
• Southern Oregon Neurology PC
• Southern Oregon Neuropsychological Clinic LLC
• Southern Oregon Neurosurgical & Spine Associates, PC
• Southern Oregon Nutrition & Diabetes Training Center
• Southern Oregon Oral and Maxillofacial Surgeons

• Clinical Social Worker in Medford, OR
• Providers in Medford, 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 12, 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.