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MS. BONITA SHUFFAIN SIEGEL LICSW NPI 1629050745


NPI Information

NPI: 1629050745
Provider Name: MS. BONITA SHUFFAIN SIEGEL, LICSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
15029 BOTHELL WAY NE
SUITE 300
LAKE FOREST PARK, WA
ZIP 98155
Phone: (206) 364-0075
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MS. Bonita Shuffain Siegel, LICSW is a clinical social worker in Lake Forest Park, WA. The provider is 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. MS. Bonita Shuffain Siegel, LICSW NPI is 1629050745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15029 BOTHELL WAY NE
SUITE 300
LAKE FOREST PARK, WA
ZIP 98155-663
Phone: (206) 364-0075
Fax: (206) 364-7607

The enumeration date for this NPI number is 11/15/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AB25618MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONMEDICARE PROVIDER NUMBER
2LW00004023OTHERWASHINGTONSOCIAL WORKER LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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