Organization Active NPI

Ta Shanne Horn Licensed Clinical Social Worker Inc

  • Clinical Social Worker
  • Chico, CA
National Provider Identifier
1952083479
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TA SHANNE HORN LICENSED CLINICAL SOCIAL WORKER INC
Doing business as
Dynamic Hearts Therapy
Practice address
80 Independence Cir Ste 220
Chico, CA 95973-0288
Phone
(530) 815-4328
Fax
(530) 636-4772
NPI assigned
Aug 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Ta'Shanne Watu HornNPI 1568620342
Title
Owner
Phone
(530) 815-4328

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

80 Independence Cir Ste 220
Chico, CA 95973-0288

Mailing address

80 Independence Cir Ste 220
Chico, CA 95973-0288
Phone (530) 815-4328

Other names 1

  • Dynamic Hearts Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231130002632 CA Part B Supplier - Clinic/Group Practice 0941658975 Receives reassigned benefits from 1 practitioner
Practice locations: Chico, CA

National Provider Directory

National Provider Directory

Locations

80 Independence Cir
Ste 220
Chico, CA 95973
Phone (530) 513-4208

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1952083479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 INDEPENDENCE CIR STE 220",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730288",
            "telephone_number": "530-815-4328",
            "fax_number": "530-636-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 INDEPENDENCE CIR STE 220",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730288",
            "telephone_number": "530-815-4328",
            "fax_number": "530-636-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TA SHANNE HORN LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "TA'SHANNE",
        "authorized_official_middle_name": "WATU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-815-4328"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Hearts Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.

Verify at the official NPI Registry.