Individual provider · Type 1 NPI

Shandra Thea Rotenberry, LICSW

Clinical Social Worker · Liberty Lake, WA

NPI number 1053884528 Active

Practice location

23505 E Appleway Ave Ste 200-540
Liberty Lake, WA 99019-6065

Mailing address

1484 Marion County 4003
Yellville, AR 72687-9343

Other practice locations

  • 1030 N Center Pkwy, Kennewick, WA 99336-7160 · (253) 465-2236
  • 1106 Clayton Ln Ste 501W, Austin, TX 78723-1085 · (253) 465-2236
  • 3537 N Steele Blvd Ste 110, Fayetteville, AR 72703-5631 · (253) 465-2236

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60854195 (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 1053884528

Shandra Thea Rotenberry, LICSW's National Provider Identifier is 1053884528, issued on Jan 8, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Liberty Lake, WA. The record was last updated on May 3, 2026.