Harvey Shacket, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

940 E Union St Ste 202
Pasadena, CA 91106-1782

Phone

(818) 359-2979

NPI assigned

Sep 18, 2017

Sex

Male

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

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, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Baj Management, Inc.

  • Assisted Living Facility (Behavioral Disturbances)
  • South Pasadena, CA
  • NPI 1972906584
  NPD (past)

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1871012120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11042 ODELL AVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E UNION ST STE 202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061782",
            "telephone_number": "818-359-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKET",
        "first_name": "HARVEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Bridgman Sevilla, NP-C
• Linda Bann Sewerbridges-Williams
• Matthew John Sexter, M.D.
• Joshua Adam Seymour, M.D.
• Alina Sgattoni
• Brit S Shackley, M.D.
• Christine Shade, DPT
• Ella Shadmon, MD
• Barry Isaac Shafer, P.T.
• Zita N Shafer, MSW

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, 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 Sep 18, 2017; 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.