Faizah Edris Shukru, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61691788 Issued in WA

Practice address

27021 26TH PL S
Kent, WA 98032-4545

Phone

(206) 673-6814

NPI assigned

Jun 4, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1205720257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27021 26TH PL S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324545",
            "telephone_number": "206-673-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27021 26TH PL S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324545",
            "telephone_number": "206-673-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKRU",
        "first_name": "FAIZAH",
        "middle_name": "EDRIS",
        "credential": "LSWAIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61691788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haregwa Shilu
• Shining Home Healthcare Services LLC
• Maryan Shire, RN
• Joshua Shotkoski
• Edith Shreckengast, RDN
• Kayla R Shull, ARNP
• Emily H M Shultz, MS, CCC-SLP
• Kathryn Shultz, M.S.-SLP
• Avani Sidhu
• Sam Allen Sievertsen

• Clinical Social Worker in Kent, WA
• Providers in Kent, 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 Jun 4, 2025; 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.