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DE ANNA DE SHAUN DOVE LCSW
NPI 1063372886
Social Worker - Clinical in Los Angeles, CA

Active since November 14, 2025PECOS Enrolled
3680 WILSHIRE BLVD STE P04, LOS ANGELES, CA 90010(424) 258-0155 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About De Anna De Shaun Dove Lcsw NPPES

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

DE ANNA DE SHAUN DOVE LCSW (NPI 1063372886) is an individual clinical provider in Los Angeles, California, licensed in California (135318) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063372886
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDE ANNA DE SHAUN DOVECredential: LCSW
Location Address3680 WILSHIRE BLVD STE P04Los Angeles, CA 90010-2709
Mailing Address3680 Wilshire Blvd Ste P04Los Angeles, CA 90010-2709 · (424) 258-0155
Phone(424) 258-0155
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
✔ NPI 1063372886 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 · 135318
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.
3680 WILSHIRE BLVD STE P04, Los Angeles, CA 90010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

De Anna De Shaun Dove Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577057207
PECOS Enrollment IDI20251210002988
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.

Medicare Billing Reassignment

Medicare enrollment records show De Anna Dove reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
303 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90010 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

YOUNGEUN KIM LMFT
Marriage & Family Therapist
3680 WILSHIRE BLVD STE P04
LOS ANGELES, CA 90010
Los Angeles County (213) 293-8533

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 De Anna Dove's NPI number?

The NPI number for De Anna Dove is 1063372886. It was assigned to this individual provider in the NPPES registry on November 14, 2025.

Where is De Anna Dove located?

De Anna Dove practices at 3680 Wilshire Blvd Ste P04, Los Angeles, CA 90010. The listed phone number is (424) 258-0155.

What is De Anna Dove's specialty?

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

Is De Anna Dove enrolled in Medicare?

Yes. De Anna Dove is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for De Anna Dove's services?

According to the CMS Revalidation Reassignment List (October 2026 release), De Anna Dove reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for De Anna Dove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for De Anna Dove was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.