Individual provider Active NPI

Shauna Rumsey, MSW, MHP, LICSW

  • Clinical Social Worker
  • Olympia, WA
National Provider Identifier
1932505377
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60762504 Issued in WA
Practice address
1717 36TH Ave NE
Olympia, WA 98506-2414
Phone
(206) 518-0936
NPI assigned
Nov 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SC60459986 WA
Clinical Social Worker 1041C0700X LW60762504 WA Primary

Addresses

Primary practice location

1717 36TH Ave NE
Olympia, WA 98506-2414

Mailing address

1910 4TH Ave E
Olympia, WA 98506-4632
Phone (206) 518-0936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC60459986WAMDSocial Worker
LW60762504WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sea-Mar Community Health Center Past Accepting new patients

Organizations & group practices 1

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": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1932505377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064632",
            "telephone_number": "206-518-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 36TH AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985062414",
            "telephone_number": "206-518-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMSEY",
        "first_name": "SHAUNA",
        "credential": "MSW, MHP, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60459986",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60762504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.