Individual provider Active NPI

Shelvey Tajii, MSW, LCSW

  • Clinical Social Worker
  • Palmdale, CA
National Provider Identifier
1639258163
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26004 Issued in CA
Practice address
39959 Sierra Hwy
Ste 150
Palmdale, CA 93550-3313
Phone
(661) 223-5410
Fax
(661) 273-9357
NPI assigned
Nov 3, 2006
Last updated
Sep 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 26004 CA Primary

Addresses

Primary practice location

39959 Sierra Hwy
Ste 150
Palmdale, CA 93550-3313

Mailing address

2323 E Palmdale Blvd
A
Palmdale, CA 93550-4957
Phone (661) 223-5410

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

LicenseStateTypeSpecialty
26004CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1639258163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E PALMDALE BLVD",
            "address_2": "A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504957",
            "telephone_number": "661-223-5410",
            "fax_number": "661-273-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39959 SIERRA HWY",
            "address_2": "STE 150",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935503313",
            "telephone_number": "661-223-5410",
            "fax_number": "661-273-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJII",
        "first_name": "SHELVEY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.