Laura Lynn Shore, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 16801 Issued in CA

Practice address

3585 Maple St
Ste 255
Ventura, CA 93003-9147

Phone

(805) 642-6121

NPI assigned

Mar 12, 2007

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

Other names 1

• Laura Lynn Zadanoff Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Heidi Y. Kwan PHD Psychologist PC

  • Clinical Psychologist
  • Ventura, CA
  • NPI 1104663384
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1831221027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST",
            "address_2": "STE 255",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039147",
            "telephone_number": "805-642-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST",
            "address_2": "STE 255",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039147",
            "telephone_number": "805-642-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 16801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ZADANOFF",
            "middle_name": "LYNN",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Marie Shirk, R.N.F.A
• Yelena Shirotova, RBT
• Ona Mae Reiko Shiroyama, O.D.
• Elmira Mira Shishim, PA
• Dmitriy Shmaryan, D.O.
• Carrie Lee Short, CATC I
• Alan Shteyman, MD
• Shih-Yu Steven Shu, MS-PPS
• Demi Shugrue
• Shyam Krishnan DDS a Professional Dental Organization

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, 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 Jul 19, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.