Shauntae L. Willis, CDP, LICSW
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2008
- Practice locations
- 2
- Practice address
- 1400 Pottery Ave, Port Orchard, WA 98366-3711
- Practice phone
- Call (360) 895-5000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Group Health Cooperative Non King
Multi-specialty group site · Port Orchard, Washington
Find Shauntae Willis' professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Shauntae L. Willis is a clinical social worker in Seattle, Washington
Shauntae Willis practices at Group Health Cooperative Non King in Port Orchard, Washington.
Shauntae Willis' NPI, 1790938355, was assigned on October 28, 2008. Shauntae Willis holds Washington license LW 60003495.
- NPI
- 1790938355NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8527103035
- NPI enumeration date
- October 28, 2008
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (360) 895-5000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 49
- Medical school graduation
- 2003
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Shauntae L. Willis practices in Port Orchard and Seattle
Shauntae Willis' primary practice is Group Health Cooperative Non King, at 1400 Pottery Ave, Port Orchard, WA 98366-3711. The practice phone is (360) 895-5000. The NPI Registry lists Shauntae Willis' practice address as 901 Boren Ave, Seattle, WA 98104.
- Group Health Cooperative Non KingPrimary1400 Pottery Ave, Port Orchard, WA 98366-3711Phone(360) 895-5000
- NPI Registry address901 Boren Ave, Seattle, WA 98104
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data
Shauntae L. Willis is affiliated with 1 site of care and 1 medical group
Shauntae Willis' primary practice is Group Health Cooperative Non King in Port Orchard, Washington. The medical group on file is Washington Permanente Medical Group, P.C.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Shauntae L. Willis' practice
Dmand AI tracks the electronic health record (EHR) system at each site where Shauntae Willis practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Group Health Cooperative Non King | Available with a free account |
Source: Dmand AI Technology Install Data
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Shauntae L. Willis is one of 1,897 clinical social workers in Washington
Social worker is Shauntae Willis' primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Shauntae Willis is licensed in Washington.
Specialties and state licenses
- Clinical social worker, WashingtonPrimary
Clinical social workers near Shauntae Willis
Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Shauntae L. Willis' patients have a median age of 23
Across all payers, Dmand AI patient panel data puts Shauntae Willis' median patient age at 23, with 67% women.
Shauntae Willis' patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 23
Patient panel by sex, all payers
- Women67%
- Men33%
Source: Dmand AI Patient Panel Data
How Shauntae L. Willis takes part in Medicare
Shauntae Willis accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Shauntae L. Willis's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Shauntae L. Willis
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What is Shauntae L. Willis' NPI number?
Shauntae L. Willis' NPI number is 1790938355. It was assigned on October 28, 2008, and it is active in the NPI Registry.
What does Shauntae L. Willis specialize in?
Shauntae L. Willis is a clinical social worker in Seattle, Washington. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).
Where does Shauntae L. Willis practice?
Shauntae Willis practices at 1400 Pottery Ave, Port Orchard, WA 98366-3711. Shauntae Willis also practices at 901 Boren Ave, Seattle, WA 98104. Shauntae Willis' primary practice is Group Health Cooperative Non King in Port Orchard, Washington.
What is Shauntae L. Willis' office phone number?
The practice phone on file for Shauntae Willis is (360) 895-5000.
What is Shauntae L. Willis' medical license number?
Shauntae Willis holds Washington license LW 60003495.
What medical group is Shauntae L. Willis part of?
Shauntae Willis is linked to Washington Permanente Medical Group, P.C.
Does Shauntae L. Willis accept Medicare?
Yes. CMS lists Shauntae Willis as accepting Medicare assignment.
How long has Shauntae L. Willis been practicing?
Shauntae Willis graduated from medical school in 2003, 23 years ago.
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