Konstantin Sheftelevich, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC-60926805 Issued in WA

Practice address

3501 Colby Ave Ste 105
Everett, WA 98201-4795

Phone

(425) 789-1073

NPI assigned

Feb 17, 2014

Last updated

May 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Konstantin L. Sheftelevich, PLLC.

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1730083627
  Authorized official Same address or phone
• Snohomish Psychology Associates, PLLC

  • Clinical Psychologist
  • Everett, WA
  • NPI 1497178206
  NPD (past)

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1164846895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 GRAND AVE APT 401",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014893",
            "telephone_number": "401-523-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 COLBY AVE STE 105",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014795",
            "telephone_number": "425-789-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFTELEVICH",
        "first_name": "KONSTANTIN",
        "credential": "LSWAIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-17",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC-60926805",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Pierce Sheedy, M.D.
• Peter Martin Sheehy, PT
• Amanda Sheff
• Pamela A Sheffield, MD
• Scott Louis Sheffler
• Mona Sheikh
• Mary Shelkey, ARNP
• John Lewis Shelton, PH.D.
• Lisa Rosemarie Shelton, ARNP
• Tina Shelton

• Clinical Social Worker in Everett, WA
• Providers in Everett, 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 May 10, 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.