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SHAVANNAH TE'HERA WILSON
NPI 1295307098
Social Worker - Clinical in Long Beach, CA

Active since July 12, 2021
5150 E PACIFIC COAST HWY STE 100, LONG BEACH, CA 90804(562) 490-7600 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2023, Nov 8, 2022, Jul 12, 2021 (3 updates tracked since 2021).

About Shavannah Te'hera Wilson NPPES

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

SHAVANNAH TE'HERA WILSON (NPI 1295307098) is an individual clinical provider in Long Beach, California, licensed in California (110321) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1295307098
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHAVANNAH TE'HERA WILSON
Location Address5150 E PACIFIC COAST HWY STE 100Long Beach, CA 90804-3394
Mailing Address5150 E Pacific Coast Hwy Ste 100Long Beach, CA 90804-3394 · (562) 490-7600
Phone(562) 490-7600
Sole ProprietorYes
Enumeration DateJuly 12, 2021
Last NPPES UpdateJune 23, 20233 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1295307098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 110321
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 110321 (CA)
5150 E PACIFIC COAST HWY STE 100, Long Beach, CA 90804
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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.

DIANA CRUZ
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
MIRANDA SARAH STOWERS M.A.
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
LYNDSEY MASUYE CHEN
Social Worker (Clinical)
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
SARAH F MONSON
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
TIREA UFODIKE
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
BRIAN BERNARD PONCE
Rehabilitation Practitioner
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
ISELA GARCIA
Rehabilitation Practitioner
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
MS. LISA MARY PROBST LMFT 90976
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7638

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 Shavannah Wilson's NPI number?

The NPI number for Shavannah Wilson is 1295307098. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Shavannah Wilson located?

Shavannah Wilson practices at 5150 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804. The listed phone number is (562) 490-7600.

What is Shavannah Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Shavannah Wilson was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.