Shane Petite Teran, PSY.D., MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

89934 Issued in CA

Practice address

8713 Coyote Bush Rd
Riverside, CA 92508-3027

Phone

(213) 332-6966

NPI assigned

Jan 5, 2010

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

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 and National Provider Directory roles.

• Grow Healthcare Group PC

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

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1376873877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 COYOTE BUSH RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925083027",
            "telephone_number": "213-332-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 COYOTE BUSH RD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925083027",
            "telephone_number": "213-332-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAN",
        "first_name": "SHANE",
        "middle_name": "PETITE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeira Tenorio Anguiano
• Jacklyn Teo
• Teodora Healthcare Inc. (BrightStar of Riverside)
• Luis Servano Teoxon, NP-C
• Jazmin Teque
• Terapia En Espanol Family Counseling Apc
• Christina Marie Teresa-Haynes, D. C.
• Teri L Rhetta, MD Inc (Medical Clinic of Teri L Rhetta, MD)
• Cassie L Terrazone, RN
• Kalyn Terrell

• Clinical Social Worker in Riverside, CA
• Providers in Riverside, 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 Jul 11, 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.

Verify at the official NPI Registry.