MS. GLADYS SHADE QMHP, LCSW
NPI 1114137494
Social Worker - Clinical in North Bend, OR

Active since May 23, 2007
1890 WAITE ST, SUITE 1, NORTH BEND, OR 97459(541) 756-6232(541) 756-6234 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Gladys Shade Qmhp, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. GLADYS SHADE QMHP, LCSW (NPI 1114137494) is an individual clinical provider in North Bend, Oregon, licensed in Oregon (3124) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1114137494
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. GLADYS SHADECredential: QMHP, LCSW
Location Address1890 WAITE ST, SUITE 1North Bend, OR 97459-1229
Mailing Address1890 Waite St, Suite 1North Bend, OR 97459-1229 · (541) 756-6232 · Fax (541) 756-6234
Fax(541) 756-6234
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 2, 2008
NPI 1114137494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · 3124
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1890 WAITE ST, North Bend, OR 97459

Other Names 1

Professional Name (2)Ms. Alex Shade

Other Identifiers 5

Other1619915113OR · Group Number Npi
OtherR142063OR · Medicare Ptan
OtherR120353Ptan
Medicare OSCAR/certification381902OR
Medicaid213342OR

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1890 WAITE ST
NORTH BEND, OR 97459
Nurse Practitioner (Primary Care)
1890 WAITE ST
NORTH BEND, OR 97459
Nurse Practitioner (Family)
1890 WAITE ST
NORTH BEND, OR 97459
Physical Therapist
1890 WAITE ST, SUITE 5
NORTH BEND, OR 97459
Behavior Analyst
1890 WAITE ST
NORTH BEND, OR 97459
Nurse Practitioner (Family)
1890 WAITE ST, STE 1
NORTH BEND, OR 97459
Dental Hygienist
1890 WAITE ST, SUITE 1
NORTH BEND, OR 97459
Registered Nurse
1890 WAITE ST
NORTH BEND, OR 97459

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gladys Shade's NPI number?

The NPI number for Gladys Shade is 1114137494. It was assigned to this individual provider in the NPPES registry on May 23, 2007. The provider is also known as Ms. Alex Shade.

Where is Gladys Shade located?

Gladys Shade practices at 1890 Waite St Suite 1, North Bend, OR 97459. The listed phone number is (541) 756-6232.

What is Gladys Shade's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Gladys Shade was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.