Shanee Marzettee Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

91973 Issued in CA

Practice address

11762 De Palma Rd
Suite 1-C, #108
Corona, CA 92883-4010

Phone

(951) 382-2466

Fax

(866) 894-8403

NPI assigned

Mar 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shaneebrown@tdh.allscriptsdirect.net

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.

• Shanee M Brown

  • Clinical Social Worker
  • Riverside, CA
  • NPI 1720602931

  Mental Health

  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1548622889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 DE PALMA RD",
            "address_2": "SUITE 1-C, #108",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834010",
            "telephone_number": "951-382-2466",
            "fax_number": "866-894-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 DE PALMA RD",
            "address_2": "SUITE 1-C, #108",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834010",
            "telephone_number": "951-382-2466",
            "fax_number": "866-894-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2464 Slew Of Gold Ct",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925712546",
            "country_code": "US",
            "telephone_number": "951-442-1633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHANEE",
        "middle_name": "MARZETTEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "60743",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemettra M Brooks, LVN
• Sheila Brooks, MA
• Tayawndra Browder, LVN
• Michelle Brown, LCSW
• Scott Matthew Brown, P.A.-C
• Rayshell Brownridge
• BRT Clinical Nursing Services, Inc.
• Kristin Jean Bruce, ATC
• Petra Bruce, R N, PHN, BSN
• Silvia Bruemmer

• Clinical Social Worker in Corona, CA
• Providers in Corona, 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 Sep 16, 2021; 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.