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

Mrs. Nicole Therese Shiraev, LICSW

Individual provider Clinical Social Worker · NPI 1619164407

Mrs. Nicole Therese Shiraev, LICSW is a Clinical Social Worker in Seattle, Washington. Qualified in 2004, 22 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Virginia and Washington.

Years since qualifying
22
Licensed in
VA, WA
In the registry since
2007
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

150 Nickerson St Ste #105
Seattle, WA 98109-1634
Phone: (540) 808-5343
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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 LW60091324 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904006506 (VA)

Record details

NPI number1619164407
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 26, 2007
Last updated in NPPESOctober 20, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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