Decide Differently, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 11579 Issued in FL

Legal business name

DECIDE DIFFERENTLY, LLC

Practice address

271 Madison Ave S Ste 203
Bainbridge Island, WA 98110-2524

Phone

(206) 486-4338

NPI assigned

Nov 2, 2013

Last updated

Dec 23, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shakti Sutriasa, LCSWNPI 1750660841

Title

Psychotherapsit

Phone

(206) 486-4338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shakti Sutriasa, MSW

  • Clinical Social Worker
  • Vero Beach, FL
  • NPI 1750660841
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1033548805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4467",
            "city": "ROLLINGBAY",
            "state": "WA",
            "postal_code": "980610467",
            "telephone_number": "206-486-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MADISON AVE S STE 203",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102524",
            "telephone_number": "206-486-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECIDE DIFFERENTLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "SUTRIASA",
        "authorized_official_first_name": "SHAKTI",
        "authorized_official_title_or_position": "PSYCHOTHERAPSIT",
        "authorized_official_telephone_number": "206-486-4338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 11579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Dabell, PHYSICAL THERAPIST
• Kelly Leighton Danielson, OTD, MOT, OTR/L
• David J Kang DMD Ms MMSC and Michael J Kang DMD MMSC PLLC (Bainbridge Endodontics)
• Davinci Physical Therapy PLLC
• Jeffrey Day
• Martha Devereaux
• Deanna Marie Dewell-Price
• Diana Chan Counseling PLLC
• Tracy Dickerson, LMP, CHT
• Bridget Dincher

• Clinical Social Worker in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.