Active NPI
Shawn Marie Briggs, LCSW
- Clinical Social Worker
- Menifee, CA
National Provider Identifier
1376933226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW64364
- Practice address
- 26900 Newport Rd Ste 112
Menifee, CA 92584-9224 - Phone
- (951) 489-7418
- NPI assigned
- Jan 30, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW82011 | CA | |
| Clinical Social Worker | 1041C0700X | ASW64364 | CA | Primary |
Addresses
Primary practice location
26900 Newport Rd Ste 112
Menifee, CA 92584-9224
Mailing address
29645 Rancho California Rd Ste 209
Temecula, CA 92591-5285
Phone (951) 693-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASW64364 | Other | CA | ASSOCIATE CLINICAL SOCIAL WORKER REGISTERATION |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW82011 | CA | MD | Mental Health Counselor |
| ASW64364 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1376933226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29645 RANCHO CALIFORNIA RD STE 209",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925915285",
"telephone_number": "951-693-9800",
"fax_number": "951-693-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26900 NEWPORT RD STE 112",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925849224",
"telephone_number": "951-489-7418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGGS",
"first_name": "SHAWN",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-30",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCSW82011",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW64364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSOCIATE CLINICAL SOCIAL WORKER REGISTERATION",
"identifier": "ASW64364",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.