Shauneet Marduk, License Clinical Social Worker Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHAUNEET MARDUK, LICENSE CLINICAL SOCIAL WORKER INC.

Practice address

25101 The Old Rd Ste 131
Stevenson Ranch, CA 91381-2206

Phone

(818) 489-7137

NPI assigned

May 3, 2019

Organization subpart

No

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

Authorized official

Name

Miss Shauneet Eve Marduk, LCSWNPI 1396078283

Title

President

Phone

(818) 489-7137

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Shauneet Marduk, L.C.S.W.

  • Clinical Social Worker
  • Stevenson Ranch, CA
  • NPI 1396078283
  NPD Authorized official

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1952966053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914135200",
            "telephone_number": "818-489-7137",
            "fax_number": "818-475-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 THE OLD RD STE 131",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913812206",
            "telephone_number": "818-489-7137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24405 Chestnut St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Newhall",
            "state": "CA",
            "postal_code": "913212852",
            "country_code": "US",
            "telephone_number": "818-489-7137",
            "fax_number": "818-475-1646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAUNEET MARDUK, LICENSE CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "MARDUK",
        "authorized_official_first_name": "SHAUNEET",
        "authorized_official_middle_name": "EVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-489-7137",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Stevenson Ranch, CA
• Providers in Stevenson Ranch, 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 29, 2020; 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.