Active NPI
Shammeer J Dawson
- Clinical Social Worker
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 129004
- Practice address
- 879 W 190TH St Ste 300
Gardena, CA 90248-4223 - Phone
- (310) 323-6887
- NPI assigned
- May 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 121068 | CA | |
| Clinical Social Worker | 1041C0700X | 129004 | CA | Primary |
Addresses
Primary practice location
879 W 190TH St Ste 300
Gardena, CA 90248-4223
Mailing address
879 W 190TH St Ste 300
Gardena, CA 90248-4223
Phone (310) 323-6887
Other practice location 1
4401 Crenshaw Blvd
Los Angeles, CA 90043-1227
Phone (323) 290-8360
Other practice location 2
4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone (323) 802-0301
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129004 | CA | MD | Clinical Social Worker |
| 121068 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Mental Health | Current | Accepting new patients |
| Forward Wellness Family Therapy, Inc. | Current | Accepting new patients | |
| Wellnest Emotional Health & Wellness | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Past | Accepting new patients |
Locations
4401 Crenshaw Blvd
Los Angeles, CA 90043
Phone (323) 290-8360
3031 S Vermont Ave
Los Angeles, CA 90007
Phone (323) 766-2345
1041 E Yorba Linda Blvd
Ste 202
Placentia, CA 92870
Phone (714) 579-0717
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Placentia, CA
- NPI 1093398059
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1639293574
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gardena, CA
- NPI 1669503629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1356831689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "879 W 190TH ST STE 300",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484223",
"telephone_number": "310-323-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 W 190TH ST STE 300",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484223",
"telephone_number": "310-323-6887"
}
],
"practiceLocations": [
{
"address_1": "4401 Crenshaw Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900431227",
"country_code": "US",
"telephone_number": "323-290-8360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4211 Avalon Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900115622",
"country_code": "US",
"telephone_number": "323-802-0301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "SHAMMEER",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2025-03-13",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "121068",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "129004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.