Individual provider Active NPI

Misty Shasceen Taylor, LCSW

  • Clinical Social Worker
  • Valley Center, CA
National Provider Identifier
1831610864
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW75383 Issued in CA
Practice address
50100 Golsh Road
Valley Center, CA 92082
Phone
(760) 749-1410
Fax
(760) 749-3347
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCSW75383 CA Primary

Addresses

Primary practice location

50100 Golsh Road
Valley Center, CA 92082

Mailing address

50100 Golsh Rd
Valley Center, CA 92082-5338
Phone (760) 749-1410

Other practice location 1

4921 Dehesa Rd
El Cajon, CA 92019-2929
Phone (619) 445-0707

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170424001567 CA Practitioner - Clinical Social Worker 5395021539 Reassigns benefits to 3 organizations
Practice locations: Santa Ysabel, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian Health Council IncGroup PAC ID 5294644795, 21 clinicians
Sycuan Tribal GovernmentGroup PAC ID 3971687799, 5 clinicians

Practice addresses (Care Compare)

50100 Golsh Rd
Valley Center, CA 92082-5338
Phone (760) 749-1410

5442 Sycuan Rd
El Cajon, CA 92019-1816
Phone (619) 445-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW75383CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sycuan Tribal Government Multi-Specialty CurrentSince Apr 25, 2018 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Jun 1, 2024 Accepting new patients

Locations

5442 Sycuan Rd
Ste A
El Cajon, CA 92019

5442 Sycuan Rd
El Cajon, CA 92019
Phone (619) 445-0707

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1831610864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50100 GOLSH RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825338",
            "telephone_number": "760-749-1410",
            "fax_number": "760-749-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50100 GOLSH ROAD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "92082",
            "telephone_number": "760-749-1410",
            "fax_number": "760-749-3347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 Dehesa Rd",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920192929",
            "country_code": "US",
            "telephone_number": "619-445-0707",
            "fax_number": "619-445-0901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MISTY",
        "middle_name": "SHASCEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW75383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

Verify at the official NPI Registry.