Rebecca Koltin-Shaw, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103305 Issued in NY

Practice address

2822 NW 70TH St
Seattle, WA 98117-6239

Phone

(206) 369-4724

NPI assigned

Jul 7, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1417680455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 NW 70TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981176239",
            "telephone_number": "206-369-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 NW 70TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981176239",
            "telephone_number": "206-369-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTIN-SHAW",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "116496",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orpheus Kolokythas, MD
• Vladimir N Kolomyza, PA-C
• Katya Kolshorn
• Tessa Katherine Kolstad, ARNP
• Bryn Ashley Kolterman
• Riley Kolus, MD
• Vignapana Komanapalli, LMHC
• Valentina Komarova
• Ryu Komatsu, M.D.
• Sivan Komatsu

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, 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 15, 2026; 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.