Individual provider · Type 1 NPI

Shauntae Willis, LICSW, CDP

Clinical Social Worker · Seattle, WA

NPI number 1790938355 Active

Practice location

901 Boren Ave, SUITE1300
Seattle, WA 98104-3595

Call (206) 619-0028 Map

Other practice locations

  • 1400 Pottery Ave, Port Orchard, WA 98366-3711 · (360) 895-5000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW 60003495 (WA)
Addiction (Substance Use Disorder) Counselor 101YA0400XCP 00005642 (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 1790938355

Shauntae Willis, LICSW, CDP's National Provider Identifier is 1790938355, issued on Oct 28, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Seattle, WA. The record was last updated on Jun 22, 2021.