Shoba M Nishek, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60752500 Issued in WA

Practice address

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

Phone

(509) 570-6193

NPI assigned

Mar 26, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Shoba Nishek Licsw, LLC

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1073345138
  NPD Authorized official

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1356768519",
    "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": {
        "last_name": "NISHEK",
        "first_name": "SHOBA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "60752500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolas Steven Rademaker
• Tiffany Nilson-Barnhart, RN
• Ninety Ten LLC
• Yolanda L Nischan, RN
• Steven J. Nisco, M.D.
• Erica Calbero Nishikata
• Shaena Nisito
• Justin Michael Nix, CPC
• Melinda G Nix, RD
• Roy L Nix, PA-C

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, 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 Sep 17, 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.