Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANAE MARIE BEZUSKO, LICSW
Active Sole ProprietorMRS. SHANAE MARIE BEZUSKO, LICSW is a Clinical Social Worker healthcare provider located in ANDERSON ISLAND, Washington. NPI 1285067942 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ANDERSON ISLAND, WA
Registration Details
- NPI Number
- 1285067942
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2013 (12.976631669017 yrs)
- Last Updated
- Feb 21, 2024
- Licenses
-
SC60479931 (WA)LW60788498 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10316 107TH AVENUE CTANDERSON ISLAND, WA, 983038629Browse WA providers · Browse ZIP 98303
- Phone
- 9713149513
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Social Worker
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.