Active NPI
Shaffer Group Inc
- Clinical Social Worker
- Temecula, CA
National Provider Identifier
1689031817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW27326
- Legal business name
- SHAFFER GROUP INC
- Practice address
- 40315 Bellevue Dr
Temecula, CA 92591-7563 - Phone
- (951) 595-2764
- NPI assigned
- Jan 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Shaffer
- Title
- President
- Phone
- (951) 595-2764
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW27326 | CA | Primary |
Addresses
Primary practice location
40315 Bellevue Dr
Temecula, CA 92591-7563
Mailing address
40335 Winchester Rd Ste 280
Temecula, CA 92591-5500
Phone (951) 595-2764
Other names 1
- The Shaffer Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
40335 Winchester Rd
Ste 280
Temecula, CA 92591
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Temecula, CA
- NPI 1518242411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600646400000",
"number": "1689031817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40335 WINCHESTER RD STE 280",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925915500",
"telephone_number": "951-595-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40315 BELLEVUE DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925917563",
"telephone_number": "951-595-2764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAFFER GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-19",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A",
"authorized_official_last_name": "SHAFFER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-595-2764"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW27326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Shaffer Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.