IndividualActive
Ebony Shorts, LCSW
NPI 1861274540 · Clinical Social Worker · Enterprise, OR
Provider details
- NPI number
- 1861274540
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 34010647A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
606 Medical Pkwy
Enterprise, OR 97828-5140
Phone: (541) 426-4524
Fax: (541) 426-3035
Approximate (ZIP-level) locationGet directions
Mailing address
606 Medical Pkwy
Enterprise, OR 97828-5140
Registry dates
- Enumerated
- 2023-10-18
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.