Individual provider Active NPI

Shilpa Esther Trivedi, MSW

  • Clinical Social Worker
  • Tacoma, WA
National Provider Identifier
1376911396
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8302 Issued in OR
Practice address
9600 Veterans Dr SW
Tacoma, WA 98493-5246
Phone
(253) 583-1553
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X A4991 OR
Student in an Organized Health Care Education/Training Program 390200000X 2011412 OR
Clinical Social Worker 1041C0700X L8302 OR Primary

Addresses

Primary practice location

9600 Veterans Dr SW
Tacoma, WA 98493-5246

Mailing address

4110 SE Hawthorne Blvd # 410
Portland, OR 97214-5246
Phone (734) 635-6304

Other practice location 1

6100 Southcenter Blvd
Tukwila, WA 98188-2442
Phone (206) 444-7800

Other practice location 2

7312 SE Raymond St
Portland, OR 97206-4326
Phone (734) 635-6304

Other practice location 3

4110 SE Hawthorne Blvd # 410
Portland, OR 97214-5246
Phone (734) 635-6304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A4991ORMDSocial Worker
L8302ORMDClinical Social Worker
2011412ORMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Sound PastSince Oct 14, 2012 Accepting new patients

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376911396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SE HAWTHORNE BLVD # 410",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145246",
            "telephone_number": "734-635-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 VETERANS DR SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984935246",
            "telephone_number": "253-583-1553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Southcenter Blvd",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981882442",
            "country_code": "US",
            "telephone_number": "206-444-7800",
            "fax_number": "206-444-7810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7312 SE Raymond St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972064326",
            "country_code": "US",
            "telephone_number": "734-635-6304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4110 SE Hawthorne Blvd # 410",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972145246",
            "country_code": "US",
            "telephone_number": "734-635-6304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "SHILPA",
        "middle_name": "ESTHER",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2022-07-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A4991",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "2011412",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.