Active NPI
Tika Shoulders
- Clinical Social Worker
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW111173
- Practice address
- 626 W Lancaster Blvd # 90
Lancaster, CA 93534-3108 - Phone
- (661) 674-6438
- NPI assigned
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | LCSW111173 | CA | Primary |
Addresses
Primary practice location
626 W Lancaster Blvd # 90
Lancaster, CA 93534-3108
Mailing address
PO Box 2292
Lancaster, CA 93539-2292
Phone (661) 674-6438
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW111173 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JWCH Institute Inc | Current | Accepting new patients | |
| Shoulders to Lean on Inc. | Clinical | Current | Accepting new patients |
| JWCH Institute Inc | Current | Accepting new patients |
Locations
5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186
45104 10th St W
Lancaster, CA 93534
Phone (661) 941-9543
626 W Lancaster Blvd
Lancaster, CA 93534
Phone (661) 220-9977
954 N Vermont Ave
Los Angeles, CA 90029
Phone (323) 454-4850
12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305
Interoperability endpoints
- tika.shoulderslcsw.p1@direct.jwch.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1407808058
-
- Clinical Social Worker
- Lancaster, CA
- NPI 1174381339
-
- Federally Qualified Health Center (FQHC)
- Lancaster, CA
- NPI 1073209177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1558729699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2292",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935392292",
"telephone_number": "661-674-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 W LANCASTER BLVD # 90",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343108",
"telephone_number": "661-674-6438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOULDERS",
"first_name": "TIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW111173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.