Individual provider Active NPI

Debra Jean Shawver, LICSW

  • Clinical Social Worker
  • Maple Falls, WA
National Provider Identifier
1801978747
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW000008500 Issued in WA
Practice address
6221 Shamrock Rd
Maple Falls, WA 98266-8226
Phone
(360) 536-1565
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW000008500 WA Primary

Addresses

Primary practice location

6221 Shamrock Rd
Maple Falls, WA 98266-8226

Mailing address

6221 Shamrock Rd
Maple Falls, WA 98266-8226
Phone (360) 536-1565

Other identifiers 1

IdentifierTypeStateIssuer
1092853MedicaidWA

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
I20070329000568 WA Practitioner - Clinical Social Worker 3870697998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Bellingham, WA 98225
Phone (360) 536-1565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW000008500WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Therapeutic Counseling, PLLC Clinical CurrentSince Oct 19, 2015 Accepting new patients
Therapy by Jenny, LLC Clinical Past Accepting new patients

Locations

2110 Iron St
Bellingham, WA 98225
Phone (360) 734-2664

115 W Magnolia St
Ste 207
Bellingham, WA 98225
Phone (360) 536-1565

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1801978747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 SHAMROCK RD",
            "city": "MAPLE FALLS",
            "state": "WA",
            "postal_code": "982668226",
            "telephone_number": "360-536-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 SHAMROCK RD",
            "city": "MAPLE FALLS",
            "state": "WA",
            "postal_code": "982668226",
            "telephone_number": "360-536-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWVER",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW000008500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092853",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Falls, WA

Sources for this page

Verify at the official NPI Registry.