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MIA SHEPHERD
NPI 1053709188
Social Worker - Clinical in Roseville, CA

Active since December 23, 2014PECOS Enrolled
1660 E ROSEVILLE PKWY, ROSEVILLE, CA 95661(916) 878-4066 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mia Shepherd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA SHEPHERD (NPI 1053709188) is an individual clinical provider in Roseville, California, licensed in California (61785) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053709188
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIA SHEPHERD
Location Address1660 E ROSEVILLE PKWYRoseville, CA 95661-3988
Mailing Address1660 E Roseville PkwyRoseville, CA 95661-3988
Phone(916) 878-4066
Sole ProprietorNo
Enumeration DateDecember 23, 2014
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1053709188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 61785
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.
1660 E ROSEVILLE PKWY, Roseville, CA 95661
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mia Shepherd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICAFORT C REYES II
Marriage & Family Therapist
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
Placer County (916) 784-4000
MS. MARION BARBARA HALECKER MFT
Marriage & Family Therapist
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
Placer County (916) 973-5300
NESTOR SAUL DAVILA-CARRANZA LCSW
Social Worker (Clinical)
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
Placer County (916) 878-4045
DR. THOMAS EMERSON ELMORE PHD
Psychologist (Clinical)
1660 E ROSEVILLE PKWY, KAISER DEPARTMENT OF PSYCHIATRY
ROSEVILLE, CA 95661
Placer County (916) 973-5300
DR. MICHAEL EDWARD ALAN HANLON PH.D.
Psychologist
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
Placer County (916) 973-5300
MS. DONNA MARIE PIEPER LCSW
Social Worker (Clinical)
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
Placer County (916) 771-7648
DONALD ROBINSON MD
Psychiatry & Neurology (Psychiatry)
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
Placer County (916) 771-6787
DR. JENNY ELIZABETH NICHOLS PSY.D.
Psychologist (Clinical)
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661
Placer County (167) 844-0009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Shepherd's NPI number?

The NPI number for Mia Shepherd is 1053709188. It was assigned to this individual provider in the NPPES registry on December 23, 2014.

Where is Mia Shepherd located?

Mia Shepherd practices at 1660 E Roseville Pkwy, Roseville, CA 95661. The listed phone number is (916) 878-4066.

What is Mia Shepherd's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mia Shepherd enrolled in Medicare?

Yes. Mia Shepherd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mia Shepherd was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.