Organization Active NPI

Shoba Nishek Licsw, LLC

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1073345138
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHOBA NISHEK LICSW, LLC
Practice address
3001 S Mount Vernon St Ste 202
Spokane, WA 99223-4755
Phone
(509) 570-6193
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Shoba Marie Nishek, LICSWNPI 1356768519
Title
Owner/Therapist
Phone
(509) 570-6193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3001 S Mount Vernon St Ste 202
Spokane, WA 99223-4755

Mailing address

3001 S Mount Vernon St Ste 202
Spokane, WA 99223-4755
Phone (509) 570-6193

National Provider Directory

National Provider Directory

Locations

3001 S Mount Vernon St
Ste 202
Spokane, WA 99223
Phone (509) 570-6193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1073345138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S MOUNT VERNON ST STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234755",
            "telephone_number": "509-570-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S MOUNT VERNON ST STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234755",
            "telephone_number": "509-570-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOBA NISHEK LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "NISHEK",
        "authorized_official_first_name": "SHOBA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "509-570-6193",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.