Active NPI
Britney Kay Vachon-Laguardia, LCSW, AASW
- Clinical Social Worker
- Twentynine Palms, CA
National Provider Identifier
1104469998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 88688
- Practice address
- 6274 Adobe Rd
Twentynine Palms, CA 92277-2650 - Phone
- (760) 367-3290
- Fax
- (760) 367-4867
- NPI assigned
- Oct 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 88688 | CA | |
| Clinical Social Worker | 1041C0700X | 88688 | CA | Primary |
Addresses
Primary practice location
6274 Adobe Rd
Twentynine Palms, CA 92277-2650
Mailing address
6274 Adobe Rd
Twentynine Palms, CA 92277-2650
Phone (760) 367-3290
Other practice location 1
73773 Homestead Dr
Twentynine Palms, CA 92277-1825
Phone (760) 987-7829
Other practice location 2
7293 Dumosa Ave Ste 8
Yucca Valley, CA 92284-3700
Phone (760) 369-7166
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Psychological Services | Current | Accepting new patients | |
| Daniel D. Shirbroun, PHD, Inc, Psychologist | Past | Accepting new patients |
Locations
6274 Adobe Rd
Twentynine Palms, CA 92277
Phone (760) 367-3290
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Twentynine Palms, CA
- NPI 1194539148
-
- Clinical Psychologist
- Yucca Valley, CA
- NPI 1982607784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1104469998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6274 ADOBE RD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922772650",
"telephone_number": "760-367-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6274 ADOBE RD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922772650",
"telephone_number": "760-367-3290",
"fax_number": "760-367-4867"
}
],
"practiceLocations": [
{
"address_1": "73773 Homestead Dr",
"address_purpose": "LOCATION",
"city": "Twentynine Palms",
"state": "CA",
"postal_code": "922771825",
"country_code": "US",
"telephone_number": "760-987-7829",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7293 Dumosa Ave Ste 8",
"address_purpose": "LOCATION",
"city": "Yucca Valley",
"state": "CA",
"postal_code": "922843700",
"country_code": "US",
"telephone_number": "760-369-7166",
"fax_number": "760-369-7167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VACHON-LAGUARDIA",
"first_name": "BRITNEY",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "LCSW, AASW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-24",
"last_updated": "2023-05-10",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "88688",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "88688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.