SHAUNTAE WILLIS LICSW, CDP
NPI 1790938355
Social Worker - Clinical in Seattle, WA
About Shauntae Willis Licsw, Cdp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAUNTAE WILLIS LICSW, CDP (NPI 1790938355) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW 60003495) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Port Orchard, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shauntae Willis Licsw, Cdp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98104
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 Shauntae Willis's NPI number?
The NPI number for Shauntae Willis is 1790938355. It was assigned to this individual provider in the NPPES registry on October 28, 2008.
Where is Shauntae Willis located?
Shauntae Willis practices at 901 Boren Ave Suite1300, Seattle, WA 98104. The listed phone number is (206) 619-0028.
What is Shauntae Willis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Shauntae Willis enrolled in Medicare?
Yes. Shauntae Willis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Shauntae Willis accept?
Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Shauntae Willis 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 Shauntae Willis was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shauntae Willis, LICSW, CDP · NPI 1790938355
Clinical provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since October 28, 2008.
## Identity
- **NPI:** 1790938355 (Entity type: Individual)
- **Enumerated:** October 28, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LW 60003495 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 901 BOREN AVE, SUITE1300, Seattle, WA 98104-3595
- **Phone:** (206) 619-0028
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** June 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790938355) · Data from the CMS NPPES public registry.