Individual provider Active NPI

Shelia Marie Danzuka, LCSW, MSW, MA, MFT

  • Clinical Social Worker
  • Redmond, OR
National Provider Identifier
1295292357
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L16102 Issued in OR
Practice address
2326 SW Glacier PL
Redmond, OR 97756-7626
Phone
(503) 949-4119
Fax
(541) 244-1303
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X
Clinical Social Worker 1041C0700X L16102 OR Primary

Addresses

Primary practice location

2326 SW Glacier PL
Redmond, OR 97756-7626

Mailing address

2326 SW Glacier PL
Redmond, OR 97756-7626
Phone (503) 949-4119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 16, 2026 through Jun 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
L16102ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True North Integrative Counseling Services LLC Mental Health CurrentSince Feb 23, 2025 Accepting new patients

Locations

2326 SW Glacier Pl
Redmond, OR 97756
Phone (503) 949-4119

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1295292357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 SW GLACIER PL",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977567626",
            "telephone_number": "503-949-4119",
            "fax_number": "541-244-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 SW GLACIER PL",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977567626",
            "telephone_number": "503-949-4119",
            "fax_number": "541-244-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANZUKA",
        "first_name": "SHELIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MSW, MA, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.