Individual provider Active NPI

Shurrie Ann Weatherman

  • Social Worker
  • Richland, WA
National Provider Identifier
1457999534
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LW61033805 Issued in WA
Practice address
1955 Jadwin Ave Ste 420
Richland, WA 99354-2265
Phone
(509) 308-1997
Fax
(509) 581-2063
NPI assigned
Dec 19, 2019
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LW61033805 WA Primary

Addresses

Primary practice location

1955 Jadwin Ave Ste 420
Richland, WA 99354-2265

Mailing address

PO Box 1105
Richland, WA 99352-1105
Phone (093) 081-9975

Other practice location 1

100512 Bastain Prse
Kennewick, WA 99338
Phone (509) 308-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200224001567 WA Practitioner - Clinical Social Worker 7517394067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1955 Jadwin Ave
Suite 420
Richland, WA 99354-2265
Phone (509) 308-1997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW61033805WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Weathering the Storm Counseling PLLC CurrentSince Feb 1, 2025 Accepting new patients
Tri Cities Community Health Past Accepting new patients
Deluna Counseling and Art Therapy PLLC Clinical PastSince Feb 2, 2025 Accepting new patients
Tri-Cities Community Health PastSince Sep 27, 2023 Accepting new patients

Locations

1955 Jadwin Ave
Ste 420
Richland, WA 99354
Phone (509) 308-1997

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1457999534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1105",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993521105",
            "telephone_number": "093-081-9975",
            "fax_number": "509-581-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 JADWIN AVE STE 420",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542265",
            "telephone_number": "509-308-1997",
            "fax_number": "509-581-2063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100512 BASTAIN PRSE",
            "address_purpose": "LOCATION",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "country_code": "US",
            "telephone_number": "509-308-1997",
            "fax_number": "509-581-2063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERMAN",
        "first_name": "SHURRIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW61033805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.