Shayna Kay Gambs, SOCIAL WORKER

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CG61381389 Issued in WA

Practice address

921 Harvey Rd NE Ste C
Auburn, WA 98002-4294

Phone

(253) 939-2211

Fax

(253) 939-2867

NPI assigned

Jan 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Shayna Kay Williamson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Walk to Freedom Counseling, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Auburn, WA
  • NPI 1740763648
  NPD

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1154036531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HARVEY RD NE STE C",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024294",
            "telephone_number": "253-939-2211",
            "fax_number": "253-939-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 HARVEY RD NE STE C",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024294",
            "telephone_number": "253-939-2211",
            "fax_number": "253-939-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBS",
        "first_name": "SHAYNA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "CG61381389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER",
            "identifier": "CG61381389",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYNA",
            "last_name": "WILLIAMSON",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "SOCIAL WORKER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Patrick Gallagher
• Niamh Catriona Marie Gallagher
• Gwendolyn Dale Gallardo
• Jennifer K Gallion, LMP
• John J Gallucci, MD
• Tennille Rose Gammelgaard, COTA/L
• Marichelle Mercado Gamolo, LMP
• Sara Gantz
• Ying Gao, CMT, MPL
• Nedal Gara, M.D.

• Clinical Social Worker in Auburn, WA
• Providers in Auburn, 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 Jan 19, 2023; 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.