Elizabeth Marie Sheppard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 22764 Issued in CA

Practice address

28125 Bradley Rd
Suite 220
Sun City, CA 92586-2248

Phone

(951) 309-2140

Fax

(951) 309-2141

NPI assigned

Apr 28, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southern California Psychiatric Group, Inc

  • Child & Adolescent Psychiatry Physician
  • Sun City, CA
  • NPI 1285951871

  Clinical

  NPD (past)

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1508276759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23110 ATLANTIC CIR",
            "address_2": "SUITE F",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535920",
            "telephone_number": "951-893-8838",
            "fax_number": "951-249-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28125 BRADLEY RD",
            "address_2": "SUITE 220",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862248",
            "telephone_number": "951-309-2140",
            "fax_number": "951-309-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 22764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Santos
• Deborah Schafnitz
• Sheshaben A Shah, DDS
• Peter G Shaw- MC Minn, O.D.
• Shella Care Management Services, LLC
• Shova Healthcare Vna, LLC
• Lisa Anne Skeels
• Gary M. Sollars, M.D. F.A.C.E.P.
• Southern California Psychiatric Group, Inc
• Southern California Psychiatric Group, Inc

• Clinical Social Worker in Sun City, CA
• Providers in Sun City, 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 Apr 28, 2014; 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.