MS. DEONAE SHEREE SHACKELFORD-MCMILLIAN LCSW
NPI 1497014666
Social Worker - Clinical in Tarzana, CA
About Ms. Deonae Sheree Shackelford-mcmillian Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DEONAE SHEREE SHACKELFORD-MCMILLIAN LCSW (NPI 1497014666) is an individual clinical provider in Tarzana, California, licensed in California (121067) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Deonae Sheree Shackelford-mcmillian Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Deonae Shackelford-mcmillian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palm Springs, CA 92262
- Reassigned Medicare billing, California enrollment
- 15 clinicians in this Medicare group
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 91356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TARZANA, CA 91356
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 Deonae Shackelford-mcmillian's NPI number?
The NPI number for Deonae Shackelford-mcmillian is 1497014666. It was assigned to this individual provider in the NPPES registry on May 9, 2012.
Where is Deonae Shackelford-mcmillian located?
Deonae Shackelford-mcmillian practices at 18408 Hatteras St Unit 39, Tarzana, CA 91356. The listed phone number is (626) 200-5996.
What is Deonae Shackelford-mcmillian's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Deonae Shackelford-mcmillian enrolled in Medicare?
Yes. Deonae Shackelford-mcmillian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Deonae Shackelford-mcmillian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deonae Shackelford-mcmillian reassigns Medicare benefits to Sabi Pathways Family Therapy Inc. (Palm Springs, 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 Deonae Shackelford-mcmillian'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 Deonae Shackelford-mcmillian was last updated on February 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Deonae Sheree Shackelford-Mcmillian, LCSW · NPI 1497014666
Clinical provider in Tarzana, California. Individual provider, active in the CMS NPPES registry since May 9, 2012.
## Identity
- **NPI:** 1497014666 (Entity type: Individual)
- **Enumerated:** May 9, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 121067 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18408 HATTERAS ST UNIT 39, Tarzana, CA 91356-1913
- **Phone:** (626) 200-5996
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sabi Pathways Family Therapy Inc. (NPI 1407444722, Palm Springs, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497014666) · Data from the CMS NPPES public registry.