Shawnee Lee Alexander, LCSW
Individual provider Active NPI Clinical Social Worker · Tustin, CA
NPI 1124363759 · NPPES record last updated Dec 8, 2012
Key facts
- NPI
- 1124363759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 29007 (CA)
- Practice address
- 17542 17TH St Ste 300
Tustin, CA 92780-1960 - Phone
- (714) 734-4500
- NPI assigned
- Dec 8, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cognitive Care Solutions Group Inc
Practice addresses (Care Compare)
27350 Nicolas Rd
Temecula, CA 92591-7349
Phone (714) 545-3390
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230829001618 | CA | Practitioner - Clinical Social Worker | 1456714161 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Care Solutions Group Inc | Current |
Accepting new patients | |
| Kaiser Foundation Hospitals | Past | Accepting new patients |
Locations
3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120
23461 S Pointe Dr
Ste 240
Laguna Hills, CA 92653
Phone (714) 545-3390
27350 Nicolas Rd
Temecula, CA 92591
Phone (714) 545-3390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29007 | CA | Yes |
Addresses
Primary practice location
17542 17TH St Ste 300
Tustin, CA 92780-1960
Mailing address
3750 Forest Glen Rd
Yorba Linda, CA 92886-6942
Phone (714) 777-6891
Other providers in Tustin, CA
- Lizbeth Alcaraz
- Dell Aldrich
- Briana Lyn Alejo
- Alexander I. Zamanian,M.D. Inc.a Professional Corporation
- John Alexander
- Noor Alhankawi
- Kelly Alhooie
- Danny Younis Ali
- Riah Alivio
- Niki Alizadeh Ghanad
All providers in Tustin, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.