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TERESA SHIRAISHI LICSW
NPI 1174283667
Social Worker - Clinical in Sequim, WA

Active since December 23, 2021Opted out of Medicare · through Dec 4, 2026
2800 WOODCOCK RD, SEQUIM, WA 98382(360) 531-3897 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teresa Shiraishi Licsw NPPES

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

TERESA SHIRAISHI LICSW (NPI 1174283667) is an individual clinical provider in Sequim, Washington, licensed in Washington (LW61003632) and active in the NPI registry since December 2021. She has opted out of Medicare through December 4, 2026.

NPPES Registry Identity

NPI1174283667
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTERESA SHIRAISHICredential: LICSW
Location Address2800 WOODCOCK RDSequim, WA 98382-7887
Mailing Address2800 Woodcock RdSequim, WA 98382-7887
Phone(360) 531-3897
Sole ProprietorNo
Enumeration DateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
✔ NPI 1174283667 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 · LW61003632
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.
2800 WOODCOCK RD, Sequim, WA 98382
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Teresa Shiraishi Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 4, 2024 through December 4, 2026.

Opt-Out Effective DateDecember 4, 2024
Opt-Out In Effect ThroughDecember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Teresa Shiraishi's NPI number?

The NPI number for Teresa Shiraishi is 1174283667. It was assigned to this individual provider in the NPPES registry on December 23, 2021.

Where is Teresa Shiraishi located?

Teresa Shiraishi practices at 2800 Woodcock Rd, Sequim, WA 98382. The listed phone number is (360) 531-3897.

What is Teresa Shiraishi's specialty?

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

Is Teresa Shiraishi enrolled in Medicare?

No. Teresa Shiraishi has opted out of Medicare through December 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Teresa Shiraishi accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Teresa Shiraishi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teresa Shiraishi was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.