SHADONNA JERRIA WILSON
NPI 1750944674
Case Manager/Care Coordinator in Los Angeles, CA

Q: What is Shadonna Wilson's NPI number?

The NPI number for Shadonna Wilson is 1750944674. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Q: What is Shadonna Wilson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Shadonna Wilson was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 16, 2019

3850 CRENSHAW BLVD, LOS ANGELES, CA 90008(323) 751-3026 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 10, 2020, Apr 16, 2019 (2 updates tracked since 2019).

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About Shadonna Jerria Wilson NPPES

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

SHADONNA JERRIA WILSON (NPI 1750944674) is an individual case manager/care coordinator provider in Los Angeles, California and active in the NPI registry since April 2019. She maintains a secondary practice location in Cerritos.

NPPES Registry Identity

NPI1750944674

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameSHADONNA JERRIA WILSON

Location Address3850 CRENSHAW BLVDLos Angeles, CA 90008-1821

Mailing Address3850 Crenshaw BlvdLos Angeles, CA 90008-1821 · (323) 751-3026

Phone(323) 751-3026

Sole ProprietorNo

Enumeration DateApril 16, 2019

Last NPPES UpdateFebruary 10, 20202 updates tracked since enumeration

✔ NPI 1750944674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedBehavior TechnicianTaxonomy 106S00000X

3850 CRENSHAW BLVD, Los Angeles, CA 90008

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Secondary Practice Location 1

Location 116410 Bloomfield Ave Ste BCerritos, CA 90703-2144 · Phone (562) 760-4429

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.

SAMANTHA GURTH

Social Worker (Clinical)