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MS. SHAWNEE ISAAC SMITH LCSW
NPI 1073109054
Social Worker - Clinical in Venice, CA

Active since December 14, 2020PECOS Enrolled
1025 INDIANA AVE, VENICE, CA 90291(310) 570-5856 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shawnee Isaac Smith Lcsw NPPES

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

MS. SHAWNEE ISAAC SMITH LCSW (NPI 1073109054) is an individual clinical provider in Venice, California, licensed in California (97267) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073109054
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHAWNEE ISAAC SMITHCredential: LCSW
Location Address1025 INDIANA AVEVenice, CA 90291-2822
Mailing Address1025 Indiana AveVenice, CA 90291-2822 · (310) 570-5856
Phone(310) 570-5856
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 14, 2020
NPPES CertifiedDecember 14, 2020
✔ NPI 1073109054 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 · 97267
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.
1025 INDIANA AVE, Venice, CA 90291
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Other Names 1

Professional Name (2)Ms. Shawnee Isaac-smith Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shawnee Isaac Smith Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931609757
PECOS Enrollment IDI20250825003792
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 90291 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.

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 Shawnee Smith's NPI number?

The NPI number for Shawnee Smith is 1073109054. It was assigned to this individual provider in the NPPES registry on December 14, 2020. The provider is also known as Ms. Shawnee Isaac-Smith Lcsw.

Where is Shawnee Smith located?

Shawnee Smith practices at 1025 Indiana Ave, Venice, CA 90291. The listed phone number is (310) 570-5856.

What is Shawnee Smith's specialty?

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

Is Shawnee Smith enrolled in Medicare?

Yes. Shawnee Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawnee Smith was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.