Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689029365 Individual Practitioner Female Practitioner

Shyra Q Wade , CSWA, QMHA-I

Social Worker • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Shyra Wade, CSWA, QMHA-I is a registered healthcare professional specializing in Social Worker in Gresham, OR. Practice services are available at 620 NE 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

620 Ne 2nd St

Gresham, OR 970307514

Telephone 9712743757
Fax 5039125740
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Gresham, OR

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

Practicing in Gresham, 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: 2023-08-01
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OR A13083

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OR 19-QMHA-I-01324

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500760476 (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kathy Litvin , CSWA, QMHP-C

Counselor - Mental Health

NPI 1003213737

CSWA, QMHPC

Elizabeth Valadez , CRM, PSS

Counselor - Addiction (Substance Use Disorder)

NPI 1013765569
Christina Collier , QMHA-I

Counselor - Mental Health

NPI 1023570397

QMHAI

Jessica Trailer , QMHA-I

Counselor - Mental Health

NPI 1033758479

QMHAI

Danielle Curtis , CRM-II CADC-I QMHA-R

Counselor - Addiction (Substance Use Disorder)

NPI 1063209914

CRMIICADCIQMHAR

NPI 1073060083

CADCR, CSWA

Career & Practice History Timeline

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

24 Historical Events
👤
Provider Name / Credentials Updated November 01, 2022

Recorded as SHYRA WADE, CSWA/QMHA-I

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2022

Counselor (License #19-QMHA-I-01324 in OR)

📍
Updated Practice Location July 29, 2022

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2022

Social Worker (License #A13083 in OR)

👤
Provider Name / Credentials Updated February 07, 2022

Recorded as SHYRA WADE, CSWA/PSS/QMHA-I

👤
Provider Name / Credentials Updated October 19, 2021

Recorded as SHYRA WADE, PSS/QMHA-I

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2021

Peer Specialist (License #THW000001257 in OR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2021

Counselor (License #15-CRM-180 in OR)

👤
Provider Name / Credentials Updated May 30, 2019

Recorded as SHYRA WADE, CRM/PSS/QMHA-I

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2019

Counselor (License #19-QMHA-I-01324 in OR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2019

Counselor

📍
Updated Practice Location March 11, 2019

Registered at 1310 SW 17TH AVE, PORTLAND, OR 972012522 (Tel: 5032312641)

👤
Provider Name / Credentials Updated March 11, 2019

Recorded as SHYRA WADE, CRM/PSS/QMHA

NPI Profile Active May 31, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address May 31, 2017

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 9713862278)

📍
Updated Practice Location May 31, 2017

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

👤
Provider Name / Credentials Updated May 31, 2017

Recorded as SHYRA WADE, CRM/PSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2017

Counselor (License #15-CRM-180 in OR)

NPI Profile Active May 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2016

Registered at 1631 SW COLUMBIA ST, PORTLAND, OR 972016025 (Tel: 5032312641)

📍
Updated Business Mailing Address May 02, 2016

Registered at 13424 NE SANDY BLVD, APT H4, PORTLAND, OR 972302686 (Tel: 9712129206)

👤
Provider Name / Credentials Updated May 02, 2016

Recorded as SHYRA WADE, CRM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2016

Counselor (License #15-CRM-180 in OR)

🟢
Initial NPI Registration & Enumeration April 29, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689029365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2016
Last Update: August 01, 2023
Sole Proprietor: No

Mailing Address

1776 Sw Madison St

Portland, OR 972051715

Phone: 5032241044

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.