Shannae Hart

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120495 Issued in CA

Practice address

2034 Cotner Ave Ste 200
Los Angeles, CA 90025-5664

Phone

(818) 335-5200

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Clarity Family Therapy Services Inc.

  • Mental Health Counselor
  • Los Angeles, CA
  • NPI 1457962680
  NPD
• Alliance Mental Health

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1194218537
  NPD (past)

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1225786619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1444",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917291444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 COTNER AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255664",
            "telephone_number": "818-335-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "SHANNAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "120495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@clarityfts.com",
            "affiliation": "N",
            "address_1": "2034 Cotner Ave Ste 200",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900255664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Anne Hart, MA
• Lorin Hart
• Morgan Maile Hart, LCSW
• Richard Hart, M.D.
• Rochelle Katherine Hart
• Shirin Hart, LMFT
• Stephen Hart
• Steven Dawson Hart, MD
• Hartanto L. Justin D.D.S. , Inc
• David Lee Hartenbower, MD

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, 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 Oct 15, 2024; 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.