SHAWN TIRACHAI SUMONSAVADIT
NPI 1720413503
Social Worker - Clinical in Granada Hills, CA

Q: What is Shawn Sumonsavadit's NPI number?

The NPI number for Shawn Sumonsavadit is 1720413503. It was assigned to this individual provider in the NPPES registry on September 11, 2013.

Q: What is Shawn Sumonsavadit's specialty?

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

Active since September 11, 2013PECOS EnrolledAccepts Medicare Assignment

10605 BALBOA BLVD STE 100, GRANADA HILLS, CA 91344(818) 832-2400 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2021, Mar 20, 2018 (2 updates tracked since 2018).

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About Shawn Tirachai Sumonsavadit NPPES

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

SHAWN TIRACHAI SUMONSAVADIT (NPI 1720413503) is an individual clinical provider in Granada Hills, California, licensed in California (LCSW80818) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720413503

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameSHAWN TIRACHAI SUMONSAVADIT

Location Address10605 BALBOA BLVD STE 100Granada Hills, CA 91344-6367

Mailing Address10605 Balboa Blvd., Suite 100Granada Hills, CA 91344 · (818) 832-2400

Phone(818) 832-2400

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 11, 2013

Last NPPES UpdateMay 6, 20212 updates tracked since enumeration

NPPES CertifiedMay 6, 2021

✔ NPI 1720413503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · LCSW80818

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.

10605 BALBOA BLVD STE 100, Granada Hills, CA 91344

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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

Shawn Tirachai Sumonsavadit 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 ID8224398342

PECOS Enrollment IDI20180212000773

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 91344 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.

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.

MS. ERICA FRANCES FIERMAN

Day Training/Habilitation Specialist