Individual provider Active NPI

Shelli Anne Nunes-Briones, L.C.S.W.

  • Clinical Social Worker
  • Roseville, CA
National Provider Identifier
1528465408
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 20447 Issued in CA
Practice address
406 Sunrise Ave
Roseville, CA 95661-4106
Phone
(912) 782-3737
NPI assigned
Nov 20, 2014
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 20447 CA
Clinical Social Worker 1041C0700X LCS 20447 CA Primary

Addresses

Primary practice location

406 Sunrise Ave
Roseville, CA 95661-4106

Mailing address

406 Sunrise Ave
Roseville, CA 95661-4106
Phone (912) 782-3737

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151202000692 CA Practitioner - Clinical Social Worker 3274833942 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20447CAMDAddiction (Substance Use Disorder) Counselor
LCS 20447CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post-Acute Care of California PC Clinical CurrentSince Sep 11, 2023 Accepting new patients
Mpac SMH of California PC Clinical CurrentSince Sep 11, 2023 Accepting new patients

Locations

2540 Carmichael Way
Carmichael, CA 95608
Phone (530) 756-1800

5454 Walnut Ave
Chino, CA 91710
Phone (760) 450-5679

1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109

6400 Purdue Dr
Eureka, CA 95503
Phone (707) 443-5668

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

4681 Eagle Rock Blvd
Los Angeles, CA 90041
Phone (323) 257-8151

1575 Skyline Dr
Monterey, CA 93940
Phone (831) 373-2731

3232 Thunder Dr
Oceanside, CA 92056
Phone (760) 724-2193

2351 Loveridge Rd
Pittsburg, CA 94565
Phone (925) 427-4444

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

501 Jessie Ave
Sacramento, CA 95838
Phone (916) 922-8855

600 E Washington Ave
Santa Ana, CA 92701
Phone (714) 973-1656

830 E Chapel St
Santa Maria, CA 93454
Phone (805) 544-5100

6940 Pacific Ave
Stockton, CA 95207
Phone (209) 477-0817

27600 Encanto Dr
Sun City, CA 92586
Phone (951) 679-6858

250 Fairview Rd
Thousand Oaks, CA 91361
Phone (707) 964-6333

7057 Shoup Ave
West Hills, CA 91307
Phone (818) 348-8422

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1528465408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SUNRISE AVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614106",
            "telephone_number": "912-782-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SUNRISE AVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614106",
            "telephone_number": "912-782-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNES-BRIONES",
        "first_name": "SHELLI",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "20447",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 20447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.