Nicole T Shiraev, Licsw, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60091324 Issued in WA

Legal business name

NICOLE T SHIRAEV, LICSW, PLLC

Practice address

150 Nickerson St
Suite #105
Seattle, WA 98109-1634

Phone

(540) 808-5343

NPI assigned

Oct 25, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Nicole T Shiraev, LICSWNPI 1619164407

Title

Psychotherapist/Sole Proprietor

Phone

(540) 808-5343

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Therese Shiraev, LICSW

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1619164407
  NPD (past) Authorized official

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414195200000",
    "number": "1770988354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NICKERSON ST",
            "address_2": "SUITE #105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091634",
            "telephone_number": "540-808-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NICKERSON ST",
            "address_2": "SUITE #105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091634",
            "telephone_number": "540-808-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE T SHIRAEV, LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-25",
        "last_updated": "2014-10-25",
        "status": "A",
        "authorized_official_last_name": "SHIRAEV",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "540-808-5343",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60091324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1619164407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rolando Tomas Nicolas, RRT
• Ann Nicolaysen, LMP
• Nicole Hollinsworth
• Nicole Marie Eul (Deactivation Works)
• Nicole Paolone Webb LLC
• Elyse Schel Nicole, ARNP
• Kirstin Zoe Nicole, MACP, MATC, LMHC
• Roberto F Nicosia, M.D., PH.D.
• Nona Niculescu, M.D.
• Harvey I J Niebulski, M.D.

• 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 Oct 25, 2014; 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.