Active NPI
Shanece A Duncan, LCSW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1588090427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 85690
- Practice address
- 711 E St
Sacramento, CA 95814-1208 - Phone
- (916) 201-6011
- NPI assigned
- Sep 24, 2013
- 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 | 85690 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
711 E St
Sacramento, CA 95814-1208
Mailing address
711 E St
Sacramento, CA 95814-1208
Phone (916) 201-6011
Other practice location 1
3336 Bradshaw Rd Ste 315
Sacramento, CA 95827-2600
Phone (916) 854-4564
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
| License | State | Type | Specialty |
|---|---|---|---|
| 85690 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sac Connect | Clinical | Current | Accepting new patients |
| Panacea Services Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Sacramento, CA
- NPI 1427529825
-
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
- NPI 1336576222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1588090427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 E ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958141208",
"telephone_number": "916-201-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958141208",
"telephone_number": "916-201-6011"
}
],
"practiceLocations": [
{
"address_1": "3336 Bradshaw Rd Ste 315",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958272600",
"country_code": "US",
"telephone_number": "916-854-4564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNCAN",
"first_name": "SHANECE",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "85690",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.