JOEY SHANLEY (NPI# 1770993305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770993305 |
| Entity Type | Individual |
| Full Name | JOEY SHANLEY |
| Credential | LCSW |
| Practice Address |
566 S San Vicente Blvd Ste. 102 Los Angeles CA 90048-4650 |
| Mailing Address |
1225 N Genesee Ave Apt H. West Hollywood CA 90046-4718 |
| Practice Telephone | 3104288935 |
| Mailing Telephone | 3104288935 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW61315 | CA | Behavioral Health & Social Service Providers |
| Street Address |
566 S SAN VICENTE BLVD STE. 102 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-4650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164405916 | Johanna Schor | Psychologist | 566 S San Vicente Blvd, Los Angeles, CA 90048-4650 | 2005-11-25 |
| 1689213985 | Danielle Tuohy | Psychologist | 566 S San Vicente Blvd, Los Angeles, CA 90048-4650 | 2020-01-03 |
| 1477957579 | Nora A Oconnor | Social Worker | 566 S San Vicente Blvd, 102, Los Angeles, CA 90048-4650 | 2014-10-17 |
| 1578964243 | Emma Bogdanoff, Mft | Community/Behavioral Health | 566 S San Vicente Blvd, Los Angeles, CA 90048-4650 | 2014-09-11 |
| 1396172342 | Rick Deaton, Psy.d., A Professional Psychology Corporation | Specialist | 566 S San Vicente Blvd, Suite 201, Los Angeles, CA 90048-4650 | 2013-10-07 |
| 1285981654 | Shari Lynn Saperstein | Marriage & Family Therapist | 566 S San Vicente Blvd, Suite 203, Los Angeles, CA 90048-4650 | 2012-08-05 |
| 1639485493 | Martha Hanna Johnson | Psychologist | 566 S San Vicente Blvd, Suite 203, Los Angeles, CA 90048-4650 | 2010-08-30 |
| 1407065089 | Richard Joel Goldberg | Social Worker | 566 S San Vicente Blvd, Suite 203, Los Angeles, CA 90048-4650 | 2007-05-21 |
| 1578770228 | Linda Lee Lasater | Psychologist | 566 S San Vicente Blvd, Suite 101, Los Angeles, CA 90048-4650 | 2007-05-16 |
| 1457488587 | Robert Patrick Holloway | Psychiatry & Neurology | 566 S San Vicente Blvd, Suite 201, Los Angeles, CA 90048-4650 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899549 | Callie Lind Klebanoff | Social Worker | 3162 Glenmanor Pl, Los Angeles, CA 90039-1713 | 2020-10-22 |
| 1215534060 | Arianna Armstrong | Social Worker | 1417 Wildwood Dr, Los Angeles, CA 90041-3130 | 2020-10-05 |
| 1518572932 | Jamila Leander | Social Worker | 1055 Wilshire Blvd Ste 1955, Los Angeles, CA 90017-5602 | 2020-09-11 |
| 1700491529 | Danesha Jamerson | Social Worker | 4184 3rd Ave, Los Angeles, CA 90008-4043 | 2020-09-09 |
| 1427663384 | Samantha Erin Stepleton | Social Worker | 3201 S Barrington Ave Apt E, Los Angeles, CA 90066-1139 | 2020-09-08 |
| 1821601345 | Kei Nguyen | Social Worker | 3035 Ingledale Ter, Los Angeles, CA 90039-1719 | 2020-08-25 |
| 1659984292 | Bina Zargari | Social Worker | 1129 S Holt Ave, Los Angeles, CA 90035-2405 | 2020-08-24 |
| 1275144685 | Jessica Lindsay Sotelo | Social Worker | 1530 N Poinsettia Pl Apt 241, Los Angeles, CA 90046-7915 | 2020-08-11 |
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1811513187 | Rafael C. Angulo | Social Worker | 315 S Virgil Ave Apt 103, Los Angeles, CA 90020-1300 | 2020-06-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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| 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.