Shad St Paul, MSW, SUDP, LICSW
NPI 1033503107 · Clinical Social Worker · Inchelium, WA
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shad St Paul, MSW, SUDP, LICSW is a Clinical Social Worker provider in Inchelium, WA (NPI 1033503107).
Provider details
- NPI number
- 1033503107
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, SUDP, LICSW
- Sex
- Male
- Sole proprietor
- No
- License
- CP60472921 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2024-11-18
- Certified
- 2024-11-14
Frequently asked questions
- What is Shad St Paul's NPI number?
- Shad St Paul's National Provider Identifier (NPI) is 1033503107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shad St Paul's specialty?
- Shad St Paul is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shad St Paul located?
- Shad St Paul's practice location on file with NPPES is 39 Short Cut Road, Inchelium, WA 99138-0039.
- What is Shad St Paul's phone number?
- The practice phone number listed in the NPPES registry for Shad St Paul is (509) 722-7640.
- Does Shad St Paul accept Medicare?
- Shad St Paul is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shad St Paul's NPI active?
- Yes — Shad St Paul's NPI (1033503107) is active in the NPPES registry as of the last update on 2024-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.