Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366050635 Individual Practitioner Female Practitioner

Jill M Shaddy

Social Worker • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Jill Shaddy is a registered healthcare professional specializing in Social Worker in Clackamas, OR. Practice services are available at 12901 SE 97TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12901 Se 97th Ave

Clackamas, OR 970157901

Telephone 5036558045
Associated Practice Facility / Clinic
🏢 Sleepwell Partner Llc Facility NPI 1437155934

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Clackamas, OR (2149 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-22
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
NPI 1003191313

Bachelor of Arts

Kacey Berberich

Counselor - Mental Health

NPI 1003423187
NPI 1023694221
NPI 1083916746

BAPSYCHOLOGY

Brittany Gerberding

Social Worker

NPI 1164280228
Laura Pettis-Clark , QMHA-R

Case Manager/Care Coordinator

NPI 1174133953

QMHAR

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2020

Registered at 12901 SE 97TH AVE, CLACKAMAS, OR 970157901 (Tel: 5036558045)

📍
Updated Business Mailing Address July 22, 2020

Registered at 12901 SE 97TH AVE, CLACKAMAS, OR 970157901 (Tel: 5036558045)

👤
Provider Name / Credentials Updated July 22, 2020

Recorded as JILL SHADDY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2020

Social Worker

🟢
Initial NPI Registration & Enumeration July 22, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366050635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2020
Last Update: July 22, 2020
Sole Proprietor: No

Mailing Address

12901 Se 97th Ave

Clackamas, OR 970157901

Phone: 5036558045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.