RAYMOND DIRK SHUMWAY (LCSW) – Clinical Social Worker, NPI 1982884912
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
965 CLINICAL SOCIAL WORKER in UT
Provider Addresses for RAYMOND DIRK SHUMWAY (LCSW)
4031 S 20 E
Washington, UT 847805516
Phone: (435) 216-6073
Fax: (800) 433-1396
Type: Location
PO BOX 1787
MEDFORD, OR 975010261
Phone: (541) 500-8655
Fax: (800) 433-1396
Type: Mailing
PO BOX 4752
MEDFORD, OR 975010197
Phone: (541) 500-8655
Fax: (800) 433-1396
Type: Mailing
1040, Crater Lake Avenue, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975046295
Phone: (435) 216-6073
Fax: (800) 433-1396
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-03-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080325000130 | I | Clinical Social Worker | UT | TBD |
| I20180314000755 | I | Clinical Social Worker | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84780)
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