Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ms. Gladys Shade, QMHP, LCSW

Clinical Social Worker in North Bend, OR · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114137494

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Registry record

Entity type Individual (Type 1)

Name Ms. Gladys Shade

Credential QMHP, LCSW

Sex Female

Practice address 1890 Waite St, Suite 1, North Bend, OR, 97459

Phone (541) 756-6232

Fax (541) 756-6234

Enumeration date May 23, 2007

Last updated in NPPES Dec 2, 2008

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 3124 (OR) Primary

LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Other identifiers

Identifier	Type	State	Issuer
R142063	Other	OR	MEDICARE PTAN
1619915113	Other	OR	GROUP NUMBER NPI
R120353	Other	-	PTAN
213342	Medicaid	OR	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Gladys Shade?

Gladys Shade is registered in NPPES with the primary taxonomy of Clinical Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-02.