JILL M SHADDY
NPI 1366050635
Social Worker in Clackamas, OR

Active since July 22, 2020
12901 SE 97TH AVE, CLACKAMAS, OR 97015(503) 655-8045 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jill M Shaddy NPPES

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

JILL M SHADDY (NPI 1366050635) is an individual social worker in Clackamas, Oregon and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1366050635
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJILL M SHADDY
Location Address12901 SE 97TH AVEClackamas, OR 97015-7901
Mailing Address12901 Se 97th AveClackamas, OR 97015-7901 · (503) 655-8045
Sole ProprietorNo
Enumeration DateJuly 22, 2020
NPPES CertifiedJuly 22, 2020
NPI 1366050635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
12901 SE 97TH AVE, Clackamas, OR 97015

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
12901 SE 97TH AVE
CLACKAMAS, OR 97015
Counselor
12901 SE 97TH AVE, SUITE 105
CLACKAMAS, OR 97015
Social Worker (Clinical)
12901 SE 97TH AVE, SUITE 340
CLACKAMAS, OR 97015
Clinic/Center (Sleep Disorder Diagnostic)
12901 SE 97TH AVE
CLACKAMAS, OR 97015
Behavior Technician
12901 SE 97TH AVE
CLACKAMAS, OR 97015
Durable Medical Equipment & Medical Supplies
12901 SE 97TH AVE
CLACKAMAS, OR 97015
Clinic/Center (Sleep Disorder Diagnostic)
12901 SE 97TH AVE
CLACKAMAS, OR 97015
Durable Medical Equipment & Medical Supplies
12901 SE 97TH AVE
CLACKAMAS, OR 97015

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 Jill Shaddy's NPI number?

The NPI number for Jill Shaddy is 1366050635. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Jill Shaddy located?

Jill Shaddy practices at 12901 SE 97th Ave, Clackamas, OR 97015. The listed phone number is (503) 655-8045.

What is Jill Shaddy's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jill Shaddy was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.