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

Mrs. Shanae Marie Bezusko, LICSW

Individual provider Mental Health Counselor · NPI 1285067942

Mrs. Shanae Marie Bezusko, LICSW is a Mental Health Counselor in Anderson Island, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2013
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

10316 107th Avenue Ct
Anderson Island, WA 98303-8629
Phone: (971) 314-9513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60788498 (WA)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X · Licence SC60479931 (WA)

Record details

NPI number1285067942
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 16, 2013
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024