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

Raymond Dirk Shumway, LCSW

Individual provider Clinical Social Worker · NPI 1982884912

Raymond Dirk Shumway, LCSW is a Clinical Social Worker in Medford, Oregon. Qualified in 1996, 30 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Utah.

Years since qualifying
30
Licensed in
OR, UT
In the registry since
2007
Specialties on file
2
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

1040 Crater Lake Ave Ste D
Medford, OR 97504-6295
Phone: (435) 216-6073
Fax: (800) 433-1396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4031 S 20 E, Washington, UT 84780-5516 — (435) 216-6073

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L6433 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 324492-3051 (UT)

Record details

NPI number1982884912
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 7, 2007
Last updated in NPPESDecember 22, 2024
Certification dateDecember 22, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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