Active NPI
William James Shire, LCSW
- Clinical Social Worker
- Palm Springs, CA
National Provider Identifier
1083916423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20284
- Practice address
- 275 N El Cielo Rd Ste C2
Palm Springs, CA 92262-6972 - Phone
- (760) 320-4122
- Fax
- (760) 674-3372
- NPI assigned
- Nov 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20284 | CA | Primary |
Addresses
Primary practice location
275 N El Cielo Rd Ste C2
Palm Springs, CA 92262-6972
Mailing address
275 N El Cielo Rd Ste C2
Palm Springs, CA 92262-6972
Phone (760) 320-4122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20284 | Other | CA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20284 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1083916423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 N EL CIELO RD STE C2",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626972",
"telephone_number": "760-320-4122",
"fax_number": "760-674-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N EL CIELO RD STE C2",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626972",
"telephone_number": "760-320-4122",
"fax_number": "760-674-3372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRE",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "20284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "20284",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.