Healthcare Provider Details

I. General information

NPI: 1174197081
Provider Name (Legal Business Name): BRINA SHAW CARRIGAN MSW, LICSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 S FREYA ST STE 225-B
SPOKANE WA
99202-4862
US

IV. Provider business mailing address

104 S FREYA ST TURQUOISE FLAG BUILDING, SUITE 225-B
SPOKANE WA
99202-4862
US

V. Phone/Fax

Practice location:
  • Phone: 509-418-9680
  • Fax: 509-245-7110
Mailing address:
  • Phone: 509-418-9680
  • Fax: 509-245-7110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60973004
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW43597
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: