Hallows End Collective Licensed Clinical Social Worker, a Professional Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HALLOWS END COLLECTIVE LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION

Practice address

3 Laurel LN
Aliso Viejo, CA 92656-2941

Phone

(760) 505-9084

NPI assigned

Feb 23, 2026

Organization subpart

No

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

Authorized official

Name

Shanice Williams, LCSWNPI 1093679474

Title

Ceo

Phone

(760) 505-9084

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanice Williams, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1093679474
  NPD Authorized official

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1922952464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAUREL LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562941",
            "telephone_number": "760-505-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LAUREL LN",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562941",
            "telephone_number": "760-505-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLOWS END COLLECTIVE LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHANICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-505-9084",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Guidi, MFT
• Lilian Rose Ballentos Gumban-Saldana, NP
• Maria Del Rosario Gutierrez Enciso, B.A.
• Brett Hadley, D.O.
• Richard Clinton Hahn, DDS
• Halo Clinical Lab Inc
• Suzanne Renee Hamasaki, LMFT 50982
• Allen Han
• Jacqueline Renee Hanks, DDS, MSD
• Hanna Dental Group, Inc. (Nellie Gail Orthodontics)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.