SHANNON EWORONSKY
NPI 1528307717
Counselor - Addiction (Substance Use Disorder) in Indio, CA

Active since February 07, 2013
44199 MONROE ST, INDIO, CA 92201(760) 770-2286(760) 770-2240 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 1, 2022, Mar 11, 2019, Mar 4, 2019 (3 updates tracked since 2019).

About Shannon Eworonsky NPPES

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

SHANNON EWORONSKY (NPI 1528307717) is an individual addiction (substance use disorder) provider in Indio, California, licensed in California (C26511214) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1528307717
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON EWORONSKY
Location Address44199 MONROE STIndio, CA 92201-3096
Mailing Address44199 Monroe StIndio, CA 92201-3096 · (760) 770-2286 · Fax (760) 770-2240
Fax(760) 770-2240
Sole ProprietorYes
Enumeration DateFebruary 7, 2013
Last NPPES UpdateMay 21, 20243 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
NPI 1528307717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · C26511214
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License C26511214 (CA)
44199 MONROE ST, Indio, CA 92201

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.

Rehabilitation Practitioner
44199 MONROE ST
INDIO, CA 92201
Counselor (Addiction (Substance Use Disorder))
44199 MONROE ST
INDIO, CA 92201
Counselor (Addiction (Substance Use Disorder))
44199 MONROE ST
INDIO, CA 92201
Case Manager/Care Coordinator
44199 MONROE ST
INDIO, CA 92201
Case Manager/Care Coordinator
44199 MONROE ST
INDIO, CA 92201
Case Manager/Care Coordinator
44199 MONROE ST
INDIO, CA 92201
Case Manager/Care Coordinator
44199 MONROE ST
INDIO, CA 92201
Case Manager/Care Coordinator
44199 MONROE ST
INDIO, CA 92201

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 Eworonsky's NPI number?

The NPI number for Shannon Eworonsky is 1528307717. It was assigned to this individual provider in the NPPES registry on February 7, 2013.

Where is Shannon Eworonsky located?

Shannon Eworonsky practices at 44199 Monroe St, Indio, CA 92201. The listed phone number is (760) 770-2286.

What is Shannon Eworonsky's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Eworonsky was last updated on May 21, 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.