Active NPI
Shawnte Wash
- Social Worker
- Sacramento, CA
National Provider Identifier
1174195119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 630 Bercut Dr
Sacramento, CA 95811-0110 - Phone
- (916) 441-3819
- NPI assigned
- Jul 10, 2021
- Last updated
- Oct 29, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
630 Bercut Dr
Sacramento, CA 95811-0110
Mailing address
630 Bercut Dr
Sacramento, CA 95811-0110
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Hogar Community Services, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1174195119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 BERCUT DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958110110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 BERCUT DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958110110",
"telephone_number": "916-441-3819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASH",
"first_name": "SHAWNTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-10",
"last_updated": "2021-10-29",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.