Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eliza Mae Hersh, LICSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1699245878

Eliza Mae Hersh, LICSW is a Clinical Social Worker in Spokane, Washington. Qualified in 2005, 21 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
21
Licensed in
WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1221 W 12th Ave
Spokane, WA 99204-3907
Phone: (509) 868-2927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61537973 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CP60783230 (WA)

Record details

NPI number1699245878
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 29, 2018
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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