Healthcare Provider Details

I. General information

NPI: 1801978747
Provider Name (Legal Business Name): DEBRA JEAN SHAWVER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6221 SHAMROCK RD
MAPLE FALLS WA
98266-8226
US

IV. Provider business mailing address

6221 SHAMROCK RD
MAPLE FALLS WA
98266-8226
US

V. Phone/Fax

Practice location:
  • Phone: 360-536-1565
  • Fax:
Mailing address:
  • Phone: 360-536-1565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW000008500
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: