Healthcare Provider Details

I. General information

NPI: 1437075579
Provider Name (Legal Business Name): NARA SHIN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1728 E PACIFIC AVE
SPOKANE WA
99202-3247
US

IV. Provider business mailing address

2121 S 19TH ST
TACOMA WA
98405-2922
US

V. Phone/Fax

Practice location:
  • Phone: 706-773-7821
  • Fax:
Mailing address:
  • Phone: 253-396-1634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSWIA.SC.70132436
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCAAR.CG.70150475
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: