AUNASTASIA FANTASIA MARIE ZSIDIEWICZ LICSWA, AAC, CADC I
NPI 1689142085
Social Worker - Clinical in Warrenton, OR

Q: What is Aunastasia Zsidiewicz's NPI number?

The NPI number for Aunastasia Zsidiewicz is 1689142085. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Q: What is Aunastasia Zsidiewicz's specialty?

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

Q: Is Aunastasia Zsidiewicz enrolled in Medicare?

No. Aunastasia Zsidiewicz has opted out of Medicare through October 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since November 05, 2018Opted out of Medicare · through Oct 13, 2026

65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146(503) 325-0241(503) 861-2043 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2020, Nov 5, 2018 (2 updates tracked since 2018).

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About Aunastasia Fantasia Marie Zsidiewicz Licswa, Aac, Cadc I NPPES

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

AUNASTASIA FANTASIA MARIE ZSIDIEWICZ LICSWA, AAC, CADC I (NPI 1689142085) is an individual clinical provider in Warrenton, Oregon, licensed in Washington (SC61098820) and active in the NPI registry since November 2018. She has opted out of Medicare through October 13, 2026 and maintains a secondary practice location in Astoria.

NPPES Registry Identity

NPI1689142085

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAUNASTASIA FANTASIA MARIE ZSIDIEWICZCredential: LICSWA, AAC, CADC I

Location Address65 N HIGHWAY 101 STE 204Warrenton, OR 97146-9371

Mailing Address65 N Highway 101 Ste 204Warrenton, OR 97146-9371 · (503) 325-0241 · Fax (503) 861-2043

Phone(503) 325-0241

Fax(503) 861-2043

Sole ProprietorNo

Enumeration DateNovember 5, 2018

Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration

NPPES CertifiedNovember 5, 2020

✔ NPI 1689142085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WA · SC61098820

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

65 N HIGHWAY 101 STE 204, Warrenton, OR 97146

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Secondary Practice Location 1

Location 12120 Exchange St Ste 203Astoria, OR 97103-3364 · Phone (503) 325-0241

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Aunastasia Fantasia Marie Zsidiewicz Licswa, Aac, Cadc I 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 October 13, 2024 through October 13, 2026.

Opt-Out Effective DateOctober 13, 2024

Opt-Out In Effect ThroughOctober 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

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

MS. ANNE TLAKER

Counselor (Mental Health)