Individual provider Active NPI

Shaina Lever, LCSW 88671

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1275080368
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88617 Issued in CA
Practice address
4565 California Ave
Long Beach, CA 90807-1507
Phone
(562) 422-8472
Fax
(562) 422-1102
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 88617 CA Primary

Addresses

Primary practice location

4565 California Ave
Long Beach, CA 90807-1507

Mailing address

4565 California Ave
Long Beach, CA 90807-1507
Phone (562) 422-8472

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

LicenseStateTypeSpecialty
88617CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kedren Community Mental Health Center 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": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1275080368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 CALIFORNIA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908071507",
            "telephone_number": "562-422-8472",
            "fax_number": "562-422-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 CALIFORNIA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908071507",
            "telephone_number": "562-422-8472",
            "fax_number": "562-422-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVER",
        "first_name": "SHAINA",
        "credential": "LCSW 88671",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.