Individual provider · Type 1 NPI
Eden Vincent Shore
Clinical Social Worker · Seattle, WA
Practice location
5233 S Orchard Ter
Seattle, WA 98118-4232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | SC61088916 (WA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1013885425
Eden Vincent Shore's National Provider Identifier is 1013885425, issued on Oct 27, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Seattle, WA. The record was last updated on Oct 27, 2025.