Individual provider Active NPI

Britney Kay Vachon-Laguardia, LCSW, AASW

  • Clinical Social Worker
  • Twentynine Palms, CA
National Provider Identifier
1104469998
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88688 Issued in CA
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

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Affiliated Psychological Services CurrentSince Feb 16, 2025 Accepting new patients
Daniel D. Shirbroun, PHD, Inc, Psychologist PastSince Nov 19, 2019 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.

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.

Verify at the official NPI Registry.