Roxanna Shafizadeh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

89146 Issued in CA

Practice address

18700 Beach Blvd
Huntington Beach, CA 92648-2030

Phone

(714) 206-1685

NPI assigned

Sep 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Golden State Licensed Clinical Social Worker Inc.

  • Clinical Social Worker
  • La Jolla, CA
  • NPI 1457165599
  NPD Authorized official
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Bellflower, CA
  • NPI 1043242555
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  NPD
• Stephen M Pumphrey Licensed Clinical Social Workers Inc

  • Clinical Social Worker
  • Laguna Hills, CA
  • NPI 1386862969
  NPD
• New Alternatives Inc.

  • Case Management Agency
  • Fountain Valley, CA
  • NPI 1174989735
  NPD (past)
• Western Youth Services

  • Community/Behavioral Health Agency
  • Fountain Valley, CA
  • NPI 1215484019
  NPD (past)

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1669841052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 EUCLID ST APT 205",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405299",
            "telephone_number": "714-206-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482030",
            "telephone_number": "714-206-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIZADEH",
        "first_name": "ROXANNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Morisha Selker-Adams, B.S.;M.ED
• Serena T Ta Dental Corporation
• Jose L Serrano, DC, DACBR.
• Alejandra Serrato
• Deniz Sevilgen, CMT
• Shah Patel Dental Partnership
• Amit Shah, DDS
• Kishore H Shah, RPT
• Lucinda Shah, CPHW
• Manali Shah, DDS

• Clinical Social Worker in Huntington Beach, CA
• Providers in Huntington Beach, 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 Mar 30, 2020; 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.

Verify at the official NPI Registry.