Active NPI
Shante Marie Taylor, M.S.W.
- Social Worker
- Ridgecrest, CA
National Provider Identifier
1144670324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 63398
- Practice address
- 1400 N Norma St
Suite 133
Ridgecrest, CA 93555-3613 - Phone
- (760) 499-7406
- NPI assigned
- Jun 17, 2016
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 63398 | CA | Primary |
Addresses
Primary practice location
1400 N Norma St
Suite 133
Ridgecrest, CA 93555-3613
Mailing address
29325 Kimberlina Road
Wasco, CA 93280
Phone (661) 758-4029
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63398 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Tehachapi, CA
- NPI 1831870500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1144670324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29325 KIMBERLINA ROAD",
"city": "WASCO",
"state": "CA",
"postal_code": "93280",
"telephone_number": "661-758-4029",
"fax_number": "661-758-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N NORMA ST",
"address_2": "SUITE 133",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553613",
"telephone_number": "760-499-7406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SHANTE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "63398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.