Individual provider Active NPI

Marjorie Elaines Shepherdsons, SOCIALWORKER,L.C.S.W

  • Mental Health Counselor
  • Santa Barbara, CA
National Provider Identifier
1427273150
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW10883 Issued in CA
Practice address
440 Corona del Mar
Apt. C
Santa Barbara, CA 93103-3654
Phone
(805) 965-5539
Fax
(805) 965-5539
NPI assigned
Apr 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW10883 CA Primary

Addresses

Primary practice location

440 Corona del Mar
Apt. C
Santa Barbara, CA 93103-3654

Mailing address

440 Corona del Mar
Apt. C
Santa Barbara, CA 93103-3654
Phone (805) 965-5539

Other names 1

  • Miss Narjorie Elaine Breevaart Former name

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
LCSW10883CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427273150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CORONA DEL MAR",
            "address_2": "APT. C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931033654",
            "telephone_number": "805-965-5539",
            "fax_number": "805-965-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CORONA DEL MAR",
            "address_2": "APT. C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931033654",
            "telephone_number": "805-965-5539",
            "fax_number": "805-965-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERDSONS",
        "first_name": "MARJORIE",
        "middle_name": "ELAINES",
        "name_prefix": "Ms.",
        "credential": "SOCIALWORKER,L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW10883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NARJORIE",
            "last_name": "BREEVAART",
            "middle_name": "ELAINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.