Shields for Families

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SHIELDS FOR FAMILIES

Practice address

2620 Industry Way
Suite a
Lynwood, CA 90262-4024

Phone

(323) 242-5000

Fax

(323) 242-5011

NPI assigned

Mar 12, 2007

Reactivated

Nov 13, 2019

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn S Icenhower, PH.D.NPI 1639202492

Title

Executive Director

Phone

(323) 242-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Shields for Families

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1336378009

  O20110216000397

  Same enrollment
• Shields for Families

  • Community/Behavioral Health Agency
  • Lynwood, CA
  • NPI 1578800280

  O20110216000397

  Same enrollment
• Shields for Families

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1659506145

  O20110216000397

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn S. Icenhower, PHD, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1639202492
  Authorized official Same address or phone

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1639201031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900475006",
            "telephone_number": "323-242-5000",
            "fax_number": "323-242-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 INDUSTRY WAY",
            "address_2": "SUITE A",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624024",
            "telephone_number": "323-242-5000",
            "fax_number": "323-242-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS FOR FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "deactivation_date": "2019-07-12",
        "reactivation_date": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "ICENHOWER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-242-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Shannon Sherman, PA-C
• Shields for Families
• Shields for Families
• Shields for Families
• Shields for Families
• Shin & Lee DDS, Inc
• Daniella O Shina, ACSW
• Charlene Shirley
• Rama Siddiqui, M.D.
• Lauren Siegel

• Case Management Agency in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.