Active NPI
Shantel S Roshell
- Social Worker
- Los Angeles, CA
National Provider Identifier
1205096526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2080 Florence Avenue
Los Angeles, CA 90043 - Phone
- (323) 710-5178
- NPI assigned
- Jun 10, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Rehabilitation Practitioner | 225400000X | |||
| Social Worker | 104100000X | CA | Primary |
Addresses
Primary practice location
2080 Florence Avenue
Los Angeles, CA 90043
Mailing address
2080 Florence Avenue
Los Angeles, CA 90043
Phone (323) 632-8337
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1205096526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 FLORENCE AVENUE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90043",
"telephone_number": "323-632-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 FLORENCE AVENUE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90043",
"telephone_number": "323-710-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSHELL",
"first_name": "SHANTEL",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.