Shannon Seeley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS23461 Issued in CA

Practice address

5905 Soquel Dr Ste 600
Soquel, CA 95073-2861

Phone

(831) 219-3156

NPI assigned

Oct 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485043200000",
    "number": "1124578158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 SOQUEL DR STE 600",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732861",
            "telephone_number": "831-219-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 SOQUEL DR STE 600",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732861",
            "telephone_number": "831-219-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELEY",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2017-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Clark San Chirico Miller, MFT
• Mayra Lizeth Sanjuan, LA.C, DTCM
• Santa Cruz Community Counseling Center, Inc.
• Charles T Savoca, L.AC.
• Warren Alan Scott, M.D.
• Justin F. Shyba, DDS
• Kris L Sidman Gale, MA
• Silicon Valley TMS of Monterey Bay
• Thomas Robert Silverman, M.D.
• Gloria Jean Simpson, LCSW

• Clinical Social Worker in Soquel, CA
• Providers in Soquel, 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 Jan 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.