Active NPI
Marylee Sheppard, MSW
- Social Worker
- Sacramento, CA
National Provider Identifier
1255516175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 9343 Tech Center Dr
Sacramento, CA 95826-2563 - Phone
- (916) 388-6400
- NPI assigned
- Jan 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 29424 | CA | |
| Clinical Social Worker | 1041C0700X | ASW 22966 | CA | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
9343 Tech Center Dr
Sacramento, CA 95826-2563
Mailing address
9343 Tech Center Dr
Sacramento, CA 95826-2563
Phone (916) 388-6400
Other practice location 1
2445 Albatross Way Ste 105
Sacramento, CA 95815-2878
Phone (916) 804-7700
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 |
|---|---|---|---|
| ASW 22966 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emq Families First | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1255516175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9343 TECH CENTER DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262563",
"telephone_number": "916-388-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9343 TECH CENTER DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262563",
"telephone_number": "916-388-6400"
}
],
"practiceLocations": [
{
"address_1": "2445 Albatross Way Ste 105",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958152878",
"country_code": "US",
"telephone_number": "916-804-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPPARD",
"first_name": "MARYLEE",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-09",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "29424",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 22966",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"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 Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.