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SHANNON MATTA
NPI 1497157549
Social Worker - Clinical in Pasadena, CA

Active since September 19, 2014
867 N FAIR OAKS AVE, PASADENA, CA 91103(626) 390-6393 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2025, Sep 30, 2020 (2 updates tracked since 2020).

About Shannon Matta NPPES

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

SHANNON MATTA (NPI 1497157549) is an individual clinical provider in Pasadena, California, licensed in California (96973) and active in the NPI registry since September 2014. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497157549
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON MATTA
Location Address867 N FAIR OAKS AVEPasadena, CA 91103-3050
Mailing Address760 Mountain View StAltadena, CA 91001-4925
Phone(626) 390-6393
Sole ProprietorNo
Enumeration DateSeptember 19, 2014
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1497157549 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 · 96973
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 96973 (CA)
867 N FAIR OAKS AVE, Pasadena, CA 91103
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Secondary Practice Locations 2

Location 114677 Merrill AveFontana, CA 92335-4219 · Phone (951) 643-2340
Location 2526 S San Pedro StLos Angeles, CA 90013-2102 · Phone (213) 488-9559 · Fax (213) 270-9060

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.

ERENDIDA MORENO
Rehabilitation Practitioner
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 993-3100
CHLOE CAMARENA
Social Worker (Clinical)
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (999) 999-9999
MR. NICHOLAS TRINIDAD MORAN
Rehabilitation Practitioner
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-6793
MARTHA COWLEY LMFT
Marriage & Family Therapist
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-6793
MISS WENDY MARIE GUTIERREZ LMFT #105657
Marriage & Family Therapist
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-6793
CHARLES GREGORY AUGUSTUS
Rehabilitation Practitioner
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 111-1111
BRITTANY GUTIERREZ
Community Health Worker
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-6793
TIFFANY S. MARSHALL
Rehabilitation Practitioner
867 N FAIR OAKS AVE
PASADENA, CA 91103
Los Angeles County (626) 798-6793

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 Shannon Matta's NPI number?

The NPI number for Shannon Matta is 1497157549. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Where is Shannon Matta located?

Shannon Matta practices at 867 N Fair Oaks Ave, Pasadena, CA 91103. The listed phone number is (626) 390-6393.

What is Shannon Matta'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 Shannon Matta was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.