Jennifer Shontz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

67557 Issued in CA

Practice address

250 Locust St
Santa Cruz, CA 95060-3813

Phone

(831) 427-3500

NPI assigned

Sep 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1104251917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LOCUST ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603813",
            "telephone_number": "831-427-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LOCUST ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603813",
            "telephone_number": "831-427-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONTZ",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004021552",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1033",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "67557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Courtwright Shields, MD
• Kendall Anne Shifflett, MD
• Dion Shillito
• Kia Shinn, DC
• Pamela Shipley, MFT
• Marshall Leigh Shoquist, PH. D.
• Michael L Shorenstein, MD
• Rosalind G Shorenstein, MD
• Sue Shotland, LCSW
• Allison Gwyneth Shotwell, LMFT

• Clinical Social Worker in Santa Cruz, CA
• Providers in Santa Cruz, 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 Oct 20, 2015; 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.