Deven Shah, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00009722 Issued in WA

Practice address

9 Lake Bellevue Dr 217
Bellevue, WA 98005-2454

Phone

(425) 985-3019

NPI assigned

Feb 15, 2008

Last updated

Aug 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wells Wellness Group LLC

  dba EZ Mind Psychiatric Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1245920503
  NPD (past)
• Vantage Point Counseling Inc

  • Clinical Social Worker
  • Murray, UT
  • NPI 1942583034
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440201600000",
    "number": "1699943282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 17TH AVE",
            "address_2": "UNIT G",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225700",
            "telephone_number": "425-985-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LAKE BELLEVUE DR 217",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052454",
            "telephone_number": "425-985-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DEVEN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2015-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Andrea Shadrach, PSYD
• Alicia Shafer
• Amy Leigh Shafer
• Brittney Shaffer, MOTR/L
• Joyce Shaffer, PHD
• Foram Shah, PT
• Krishna Shah
• Monali Shah
• Stuti Shah
• Tosha Shah, MD

• Clinical Social Worker in Bellevue, WA
• Providers in Bellevue, 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 Aug 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.