La Shona Sheri Jenkins, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

65682 Issued in CA

Practice address

12830 Columbia Way
Downey, CA 90242-4720

Phone

(310) 308-4539

NPI assigned

Feb 4, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1386398766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W REDONDO BEACH BLVD UNIT 2585",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902476535",
            "telephone_number": "310-308-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 COLUMBIA WAY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902424720",
            "telephone_number": "310-308-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LA SHONA",
        "middle_name": "SHERI",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "65682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "UNKNOWN",
            "affiliation": "N",
            "endpointDescription": "UNKNOWN",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17203 Bonham Ave",
            "city": "Carson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907461118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jazayeri & Moarefi Chiropractic Corporation (Millennium Family Clinic Downey)
• JB Arthritis and Rheumatology Center
• Robert Jecmen, D.D.S.
• Jasmine Jefferson
• Danyelle Jenkins
• Shanika Jenkins
• Abraham Ganguk Jeong, DDS
• Debora Jeong, DDS
• Erwin W.S. Jeong, PHARM.D.
• Mary Meri Jeong, ACUPUNCTURIST

• Clinical Social Worker in Downey, CA
• Providers in Downey, 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 Oct 13, 2022; 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.