Bonita Shuffain Siegel, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

15029 Bothell Way NE
Suite 300
Lake Forest Park, WA 98155-7663

Phone

(206) 364-0075

Fax

(206) 364-7607

NPI assigned

Nov 15, 2005

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

Other identifiers 1

Other names 1

• Ms. Bonita Shuffain Siegel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629050745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15029 BOTHELL WAY NE",
            "address_2": "SUITE 300",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981557663",
            "telephone_number": "206-364-0075",
            "fax_number": "206-364-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15029 BOTHELL WAY NE",
            "address_2": "SUITE 300",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981557663",
            "telephone_number": "206-364-0075",
            "fax_number": "206-364-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "BONITA",
        "middle_name": "SHUFFAIN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER LICENSE #",
            "identifier": "LW00004023",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONITA",
            "last_name": "SIEGEL",
            "middle_name": "SHUFFAIN",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Sather, LMFTA
• Andrea Eva Schommer, PHARM D.
• Zachary Shaeffer, LICSW
• Gwendolyn Kathleen Shattuck, LMT
• Anne Shumway-Cook, PT, PHD
• Kristina Smart, MS
• Brian D Smith, PHD, M.ED
• Lucas Camden Smith, M.D.
• Hamid Sohraby
• Kelvin Spong, PT, DPT

• Clinical Social Worker in Lake Forest Park, WA
• Providers in Lake Forest Park, 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 Jul 13, 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.