Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Dague, LCSW, QMHP

Individual provider Clinical Social Worker · NPI 1740428853

Michelle Dague, LCSW, QMHP is a Clinical Social Worker in Grants Pass, Oregon. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
17
Licensed in
OR
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

777 NE 7th St Ste 208
Grants Pass, OR 97526-1632
Phone: (503) 884-3946
Fax: (503) 200-1302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L5319 (OR)

Record details

NPI number1740428853
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , QMHP
Sole proprietorNo
NPI enumeratedJanuary 27, 2009
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grants Pass