MR. SHANE TASHIRO MATSUI (NPI# 1992827463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992827463 |
| Entity Type | Individual |
| Full Name | MR. SHANE TASHIRO MATSUI |
| Credential | LCSW |
| Practice Address |
550 South Vermont Ave. Los Angeles CA 90020 |
| Mailing Address |
550 S Vermont Ave Los Angeles CA 90020-1912 |
| Practice Telephone | 2137382824 |
| Practice Fax Number | 2134276166 |
| Mailing Telephone | 2137382824 |
| Mailing Fax Number | 2134276166 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2011-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
550 SOUTH VERMONT AVE. |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629373923 | Department of Mental Health | Case Management | 550 South Vermont Ave., 10th Floor, Los Angeles, CA 90020 | 2011-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341364 | Angela Lavonne Dumas | Social Worker | 11301 Wilshire Blvd Bldg 258, Los Angeles, CA 90073-1003 | 2020-03-19 |
| 1245866573 | Monica Tate | Social Worker | 11301 Wilshire Blvd Bldg 158, Los Angeles, CA 90073-1003 | 2020-03-18 |
| 1235786401 | Jermelle F Pitts | Social Worker | 832 Fedora St Apt 207, Los Angeles, CA 90005-2106 | 2019-08-22 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1811462179 | Martin Soto Coronel | Social Worker | 2010 Zonal Ave Rm 4p81, Los Angeles, CA 90033-1026 | 2018-10-12 |
| 1306320833 | R and R Family Services Inc. | Social Worker | 854 N Las Palmas Ave, Los Angeles, CA 90038-3516 | 2018-09-20 |
| 1205316403 | Tu Tram Huynh Nguyen | Social Worker | 1902 Marengo St Ste 107, Los Angeles, CA 90033-1378 | 2018-08-16 |
| 1790264729 | Miguel A Sanguino | Social Worker | 3658 City Terrace Dr, Los Angeles, CA 90063-2015 | 2018-08-10 |
| 1841786498 | Tanya Patimeteeporn | Social Worker | 4211 S. Avalon Blvd, Los Angeles, CA 90011-5622 | 2018-07-06 |
| 1013402478 | Guillermo Gonzalez Lopez | Social Worker | La Cada, 1773 Griffith Park, Los Angeles, CA 90026 | 2018-06-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
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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.