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MS. DEONAE SHEREE SHACKELFORD-MCMILLIAN LCSW
NPI 1497014666
Social Worker - Clinical in Tarzana, CA

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment
18408 HATTERAS ST UNIT 39, TARZANA, CA 91356(626) 200-5996 Get Directions Write a Review

NPPES record last updated: February 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1497014666
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. DEONAE SHEREE SHACKELFORD-MCMILLIANCredential: LCSW
Location Address18408 HATTERAS ST UNIT 39Tarzana, CA 91356-1913
Mailing Address18408 Hatteras St Unit 39Tarzana, CA 91356-1913 · (626) 200-5996
Phone(626) 200-5996
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 9, 2012
Last NPPES UpdateFebruary 17, 2024
NPPES CertifiedFebruary 17, 2024
✔ NPI 1497014666 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 · 121067
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
18408 HATTERAS ST UNIT 39, Tarzana, CA 91356
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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 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.

PECOS PAC ID7113451196
PECOS Enrollment IDI20241113002688
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 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.

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 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.

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.