TYTEISHA QUEEN MSW, LSWAIC
NPI 1790667111
Social Worker - Clinical in Bainbridge Island, WA

Active since July 24, 2025
12039 MINNIE ROSE LN NE, BAINBRIDGE ISLAND, WA 98110(206) 595-6223 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyteisha Queen Msw, Lswaic NPPES

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

TYTEISHA QUEEN MSW, LSWAIC (NPI 1790667111) is an individual clinical provider in Bainbridge Island, Washington, licensed in Washington (SC61686961) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1790667111
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTYTEISHA QUEENCredential: MSW, LSWAIC
Location Address12039 MINNIE ROSE LN NEBainbridge Island, WA 98110-7503
Mailing Address12039 Minnie Rose Ln NeBainbridge Island, WA 98110-7503 · (206) 595-6223
Sole ProprietorNo
Enumeration DateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
NPI 1790667111 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 · SC61686961
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.
12039 MINNIE ROSE LN NE, Bainbridge Island, WA 98110

Other Names 1

Professional Name (2)Iris Queen Msw, Lswaic

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 Tyteisha Queen's NPI number?

The NPI number for Tyteisha Queen is 1790667111. It was assigned to this individual provider in the NPPES registry on July 24, 2025. The provider is also known as Iris Queen Msw, Lswaic.

Where is Tyteisha Queen located?

Tyteisha Queen practices at 12039 Minnie Rose Ln NE, Bainbridge Island, WA 98110. The listed phone number is (206) 595-6223.

What is Tyteisha Queen'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 Tyteisha Queen was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.