Provider Demographics
NPI:1528526985
Name:WARNOCK, SHAILYN ELAINE CRISHAE (LSWAIC SC61173634)
Entity type:Individual
Prefix:MISS
First Name:SHAILYN
Middle Name:ELAINE CRISHAE
Last Name:WARNOCK
Suffix:
Gender:F
Credentials:LSWAIC SC61173634
Other - Prefix:MRS
Other - First Name:SHAILYN
Other - Middle Name:ELAINE CRISHAE
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSWAIC SC61173634
Mailing Address - Street 1:1922 E GREGORY STREET CT
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-4809
Mailing Address - Country:US
Mailing Address - Phone:650-544-5029
Mailing Address - Fax:
Practice Address - Street 1:9702 183RD STREET CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-6312
Practice Address - Country:US
Practice Address - Phone:253-881-9854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WASC611736341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor