Active NPI
Shay Linton Dubois, MSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1114301348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 100049
- Practice address
- 1286 University Ave # 1020
San Diego, CA 92103-3312 - Phone
- (858) 321-6355
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- 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 | 100049 | CA | Primary |
Addresses
Primary practice location
1286 University Ave # 1020
San Diego, CA 92103-3312
Mailing address
3705 Agosto St
San Diego, CA 92154-3608
Phone (619) 862-5295
Other practice location 1
2929 Meade Ave
San Diego, CA 92116-4251
Phone (619) 281-8324
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shay@overcomeanxietytrauma.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 13, 2023 through Dec 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100049 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1114301348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 AGOSTO ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543608",
"telephone_number": "619-862-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1286 UNIVERSITY AVE # 1020",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033312",
"telephone_number": "858-321-6355"
}
],
"practiceLocations": [
{
"address_1": "2929 Meade Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921164251",
"country_code": "US",
"telephone_number": "619-281-8324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBOIS",
"first_name": "SHAY",
"middle_name": "LINTON",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2023-01-19",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "100049",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shay@overcomeanxietytrauma.com",
"affiliation": "N",
"address_1": "1286 University Ave # 1020",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921033312",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.