EDEN VINCENT SHORE
NPI 1013885425
Social Worker - Clinical in Seattle, WA

Active since October 27, 2025
5233 S ORCHARD TER, SEATTLE, WA 98118(360) 420-0521 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eden Vincent Shore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEN VINCENT SHORE (NPI 1013885425) is an individual clinical provider in Seattle, Washington, licensed in Washington (SC61088916) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1013885425
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameEDEN VINCENT SHORE
Location Address5233 S ORCHARD TERSeattle, WA 98118-4232
Mailing Address5233 S Orchard TerSeattle, WA 98118-4232 · (360) 420-0521
Sole ProprietorYes
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 22, 2025
NPI 1013885425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · SC61088916
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

5233 S ORCHARD TER, Seattle, WA 98118

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
5233 S ORCHARD TER
SEATTLE, WA 98118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Shore's NPI number?

The NPI number for Eden Shore is 1013885425. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Where is Eden Shore located?

Eden Shore practices at 5233 S Orchard Ter, Seattle, WA 98118. The listed phone number is (360) 420-0521.

What is Eden Shore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Eden Shore was last updated on October 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.