Teresa Shiraishi, Licsw, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TERESA SHIRAISHI, LICSW, PLLC

Practice address

2800 Woodcock Rd
Sequim, WA 98382-7887

Phone

(360) 299-5720

NPI assigned

Jan 3, 2022

Organization subpart

No

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

Authorized official

Name

Teresa Shiraishi, LICSWNPI 1174283667

Title

Owner

Phone

(360) 299-5720

Specialties & licenses 1

Addresses

Other names 1

• Shiraishi Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Shiraishi, LICSW

  • Clinical Social Worker
  • Sequim, WA
  • NPI 1174283667
  NPD Authorized official

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1447911367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WOODCOCK RD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983827887",
            "telephone_number": "360-299-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WOODCOCK RD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983827887",
            "telephone_number": "360-299-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA SHIRAISHI, LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "SHIRAISHI",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-299-5720",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shiraishi Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Tack, ND LAC
• Joshua Ethan Talbert, LPC, LMHC
• Tami Moberg
• Tayler McCrorie Counseling Services, PLLC
• Marie Elizabeth Taylor, MD
• Ruth Elaine Terry, COTA
• Larry Thayer, M.D.
• Therapeutic Associates Inc
• Courtney N Thomas, LMT
• Hanna Thomas

• Clinical Social Worker in Sequim, WA
• Providers in Sequim, 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 Jan 3, 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.