Active NPI
Shauna Renee' McClain, MSW, ACSW
- Mental Health Counselor
- View Park, CA
National Provider Identifier
1174976443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 72760
- Practice address
- 3701 Stocker St Ste 104
View Park, CA 90008-5145 - Phone
- (323) 295-5616
- NPI assigned
- Jul 21, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 72760 | CA | Primary |
Addresses
Primary practice location
3701 Stocker St Ste 104
View Park, CA 90008-5145
Mailing address
3701 Stocker St Ste 104
View Park, CA 90008-5145
Phone (323) 295-5616
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 |
|---|---|---|---|
| 72760 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1174976443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 STOCKER ST STE 104",
"city": "VIEW PARK",
"state": "CA",
"postal_code": "900085145",
"telephone_number": "323-295-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 STOCKER ST STE 104",
"city": "VIEW PARK",
"state": "CA",
"postal_code": "900085145",
"telephone_number": "323-295-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "SHAUNA",
"middle_name": "RENEE'",
"credential": "MSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "72760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in View Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.