Shannon N Baird

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103315 Issued in CA

Practice address

16248 Victor St
Victorville, CA 92395-3934

Phone

(760) 243-7151

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• High Impact Therapy, Licensed Clinical Social Worker, P.C.

  • Clinical Social Worker
  • Barstow, CA
  • NPI 1245173236
  NPD Authorized official
• Vista Guidance Centers, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Victorville, CA
  • NPI 1518097799
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1063621670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16248 VICTOR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953934",
            "telephone_number": "760-243-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16248 VICTOR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953934",
            "telephone_number": "760-243-7151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 E Arrow Hwy",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864982",
            "country_code": "US",
            "telephone_number": "909-932-1069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "SHANNON",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RW1055",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "109564",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "103315",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103315",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "AII11511215",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIMON STAFF NUMBER",
            "identifier": "5089",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Bailey
• Samantha Bailey
• Stacey Marie Bailey
• Whitney Bailey
• Serenity June Baird, RADT
• Diana Baker
• Shantrina Michelle Baker
• Paola Balderas
• Babycharvae Ballard, LVN
• Richard Ballesteros

• Clinical Social Worker in Victorville, CA
• Providers in Victorville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.