DR. SHANNON DENISE DUNN


Address: 1711 Via El Prado, Redondo Beach, CA 90277-5714
Phone: 4244099312

DR. SHANNON DENISE DUNN (NPI# 1083223127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083223127
Entity Type Individual
Full Name DR. SHANNON DENISE DUNN
Credential PHD, LCSW
Practice Address 1711 Via El Prado
Redondo Beach
CA 90277-5714
Mailing Address 2651 Bayport Dr
Torrance
CA 90503-8923
Practice Telephone 4244099312
Mailing Telephone 4244099312
Enumeration Date 2020-07-24
Last Update Date 2020-07-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
34008282A IN Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
149006371 IL Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
25258 CA Behavioral Health & Social Service Providers

Other Providers SHANNON DUNN

NPI Name Taxonomy Address Enumeration
1619539640 Shannon Dunn Behavior Technician 609 Thackeray Ln, Fox River Grove, IL 60021-1839 2019-06-29
1902424708 Shannon Dunn Physical Therapist 350 W Wilson Bridge Rd Ste 200, Worthington, OH 43085-2591 2020-07-08
1851953533 Shannon Leigh Dunn Student in an Organized Health Care Education/Training Program 624 E Front Ave, Spokane, WA 99202-2139 2019-07-03
1699289793 Shannon Mae Dunn Case Manager/Care Coordinator 5955 Ridge Rd, Parma, OH 44129 2017-11-28
1841667490 Shannon Dunn Counselor 1280 Main St, Buffalo, NY 14209-1912 2015-08-31
1669855763 Shannon Dunn Rehabilitation Practitioner 5420 W Sahara Ave Ste 101, Las Vegas, NV 89146-0389 2015-07-07
1881098812 Shannon Dunn Nurse Practitioner 4800 Friendship Ave, Pittsburgh, PA 15224-1722 2014-10-20
1891989307 Shannon C Dunn Registered Nurse Us Hwy 491 North, Shiprock, NM 87420 2007-08-29
1154316743 Shannon Leigh Dunn Physician Assistant 860 Montclair Rd, Suite 955, Birmingham, AL 35213-1923 2005-09-20

Office Location

Street Address 1711 VIA EL PRADO
City REDONDO BEACH
State CA
Zip Code 90277-5714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063499572 Leland Gilbert Whitson Family Medicine 1711 Via El Prado, Suite 201, Redondo Beach, CA 90277-5714 2005-12-27
1114306354 Gregory Shvartsman Dds Dental Corporation Dentist 1711 Via El Prado, Ste 400b, Redondo Beach, CA 90277-5714 2015-05-20
1558619783 Gregory Igor Shvartsman Dentist 1711 Via El Prado, Ste 400b, Redondo Beach, CA 90277-5714 2012-08-20
1104198043 Leland G Whitson Md Inc Preferred Provider Organization 1711 Via El Prado, Suite 201, Redondo Beach, CA 90277-5714 2012-02-08
1083922363 Sabrina Renee Besson Speech-Language Pathologist 1711 Via El Prado, Suite 301, Redondo Beach, CA 90277-5714 2010-09-20
1558686832 George Eric Alexander A Medical Corporation Anesthesiology 1711 Via El Prado, Suite 202, Redondo Beach, CA 90277-5714 2010-03-30
1821233891 Denise Marie Mcdermott Psychologist 1711 Via El Prado, Suite 302, Redondo Beach, CA 90277-5714 2008-12-04
1083875694 John Louis Vicelja Dentist 1711 Via El Prado, 303, Redondo Beach, CA 90277-5714 2008-06-17
1881860120 Rhoda S Ross Dentist 1711 Via El Prado, Ste 303, Redondo Beach, CA 90277-5714 2008-05-06
1952595365 Lori Kay Malinbaum Dentist 1711 Via El Prado, #400, Redondo Beach, CA 90277 2007-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780215103 Robert John Coffman Psychologist 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 2020-02-04
1952949786 Anne E Pitts Dietitian, Registered 360 The Village Drive Unit 207, Redondo Beach, CA 90277 2019-12-11
1558916841 Dana Bryon Staub Social Worker 205 Ave. I, Suite 17, Redondo Beach, CA 90277 2019-08-05
1376033860 Lisa Ann Graziano Marriage & Family Therapist 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 2018-05-10
1275981326 Carla Marie Vasquez Marriage & Family Therapist 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 2016-05-31
1154793628 Marianne M. Cuttic, Dpm, Inc Podiatrist 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 2015-10-23
1841682994 Mary Schopfel Counselor 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 2015-02-26
1700287141 Rose Ross Marriage & Family Therapist 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 2014-09-04
1912307661 Gale Hazeltine Physical Therapist 409 N PCh Hwy # 308, Redondo Beach, CA 90277 2014-08-31
1194135889 Physical Therapy Concierge Service Inc Clinic/Center 704 N. Irena, B, Redondo Beach, CA 90277 2014-05-02
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558916841 Dana Bryon Staub Social Worker 205 Ave. I, Suite 17, Redondo Beach, CA 90277 2019-08-05
1265926919 Amber Lynn Ford Social Worker 2602 Ruhland Ave Unit C, Redondo Beach, CA 90278-2608 2018-06-17
1548703853 Sunaz Rastegarpanah Social Worker 505 N Juanita Ave, Apt C, Redondo Beach, CA 90277-2928 2016-11-18
1982157483 Valerie Coukoulis Social Worker 231 N Irena Ave # A, Redondo Beach, CA 90277-3244 2016-08-01
1720415201 Maryam Rahimi Social Worker 723 Elvira Ave Apt 4, Redondo Beach, CA 90277-4623 2013-09-30
1871939785 Sheila Zwirn Social Worker 2319 Carnegie Ln # 3, Redondo Beach, CA 90278-3711 2013-05-17
1730438714 Ellen Roese Social Worker 326 S PCh Hwy, Suite 206, Redondo Beach, CA 90277-3737 2012-09-05
1861766735 Denise Hope Balbier Social Worker 308 N Pacific Coast Hwy, Redondo Beach, CA 90277-2837 2012-02-23
1225310139 Fonda Tokushige Social Worker 553 N Pacific Coast Hwy, 337b, Redondo Beach, CA 90277-2163 2011-09-16
1053614727 Roxanne Horta Moreno Social Worker 2512 Artesia Blvd Ste 300e, Redondo Beach, CA 90278-3269 2010-12-17
Find all providers in REDONDO BEACH

Competitor

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City REDONDO BEACH
Zip Code 90277

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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