Shelly Ann Mayers

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

93658 Issued in CA

Practice address

1007 Myrtle Ave
Inglewood, CA 90301-4009

Phone

(310) 412-4191

Fax

(310) 412-3942

NPI assigned

Oct 12, 2007

Last updated

Jan 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shelley-Ann Babb Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1255529467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MYRTLE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014009",
            "telephone_number": "310-412-4191",
            "fax_number": "310-412-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MYRTLE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014009",
            "telephone_number": "310-412-4191",
            "fax_number": "310-412-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYERS",
        "first_name": "SHELLY ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "93658",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY-ANN",
            "last_name": "BABB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Max Franklin Lebow, a Medical Corporation (Emergency Physician Services Medical Assoicates)
• Randall Whitaker Maxey, MD PHD
• Brandon C. May, PHARM.D
• Susan Mayeda, RD
• Donald S Mayekawa, MD
• Walter Preston Maynard, M.D.
• Aisha Danyale Maze, MD
• Emmanuel Nwabufo Mba, M.D.
• K N Solomon Mbagwu, MD
• Barbara Jean McAdory, LVN

• Clinical Social Worker in Inglewood, CA
• Providers in Inglewood, 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 Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.