Mr. Shad Burnett St Paul, MSW, SUDP, LICSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033503107

Mr. Shad Burnett St Paul, MSW, SUDP, LICSW is an Addiction (Substance Use Disorder) Counselor in Inchelium, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in: WA
In the registry since: 2015
Specialties on file: 2

What do these letters mean?

MSW — Master of Social Work: The graduate degree in social work.
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

39 Short Cut Rd
Inchelium, WA 99138-0039
Phone: (509) 722-7640

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Specialties & licences

Clinical Social Worker (primary)	Taxonomy 1041C0700X · Licence LW61381427 (WA)
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X · Licence CP60472921 (WA)

Record details

NPI number	1033503107
Entity type	Individual (Type 1)
Gender	Male
Credentials	MSW , SUDP , LICSW
Sole proprietor	No
NPI enumerated	March 26, 2015
Last updated in NPPES	November 18, 2024
Certification date	November 14, 2024