Shandra Rotenberry, LICSW
NPI 1053884528 · Clinical Social Worker · Liberty Lake, WA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shandra Rotenberry, LICSW is a Clinical Social Worker provider in Liberty Lake, WA (NPI 1053884528).
Provider details
- NPI number
- 1053884528
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LW60854195 (WA)
Specialties & taxonomies
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 3537 N Steele Blvd Ste 110Fayetteville, AR 72703-5631Phone: (253) 465-2236
- 1106 Clayton Ln Ste 501wAustin, TX 78723-1085Phone: (253) 465-2236
- 1030 N Center PkwyKennewick, WA 99336-7160Phone: (253) 465-2236
Registry dates
- Enumerated
- 2019-01-08
- Last updated
- 2026-05-03
- Certified
- 2026-05-03
Frequently asked questions
- What is Shandra Rotenberry's NPI number?
- Shandra Rotenberry's National Provider Identifier (NPI) is 1053884528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shandra Rotenberry's specialty?
- Shandra Rotenberry is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shandra Rotenberry located?
- Shandra Rotenberry's practice location on file with NPPES is 23505 E Appleway Ave Ste 200-540, Liberty Lake, WA 99019-6065.
- What is Shandra Rotenberry's phone number?
- The practice phone number listed in the NPPES registry for Shandra Rotenberry is (253) 465-2236.
- Does Shandra Rotenberry accept Medicare?
- Shandra Rotenberry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shandra Rotenberry's NPI active?
- Yes — Shandra Rotenberry's NPI (1053884528) is active in the NPPES registry as of the last update on 2026-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.