SHIRLEY IL HARTMAN LCSW
NPI 1821468851
Social Worker - Clinical in Moorpark, CA

Active since October 02, 2015PECOS EnrolledAccepts Medicare Assignment
4279 TIERRA REJADA RD, MOORPARK, CA 93021(805) 222-2326(805) 222-2333 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shirley Il Hartman Lcsw NPPES

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

SHIRLEY IL HARTMAN LCSW (NPI 1821468851) is an individual clinical provider in Moorpark, California, licensed in California (76962) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1821468851
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHIRLEY IL HARTMANCredential: LCSW
Location Address4279 TIERRA REJADA RDMoorpark, CA 93021-3775
Mailing Address1040 Flynn RdCamarillo, CA 93012-5092 · (805) 673-3930 · Fax (805) 659-3217
Fax(805) 222-2333
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 2, 2015
Last NPPES UpdateFebruary 7, 2018
✔ NPI 1821468851 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 · 76962
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.
4279 TIERRA REJADA RD, Moorpark, CA 93021

Other Names 1

Former Name (1)Shirley Il Chung Llmsw

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shirley Il Hartman 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 ID5294095477
PECOS Enrollment IDI20190523000681
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shirley Hartman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
4279 TIERRA REJADA RD
Moorpark, CA 93021
  • Reassigned Medicare billing, California enrollment
  • 216 clinicians in this Medicare group
Clinical
2881 MONROE ST, SUITE 201
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 16 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93021 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 $62.32 – $185.36
Typical copayment $0.00 (range $15.58 – $46.34)
Most-billed visit code NA
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
4279 TIERRA REJADA RD
MOORPARK, CA 93021
Physician Assistant
4279 TIERRA REJADA RD
MOORPARK, CA 93021
Marriage & Family Therapist
4279 TIERRA REJADA RD
MOORPARK, CA 93021
Pediatrics
4279 TIERRA REJADA RD
MOORPARK, CA 93021
Nurse Practitioner (Family)
4279 TIERRA REJADA RD
MOORPARK, CA 93021
Chiropractor
4279 TIERRA REJADA RD
MOORPARK, CA 93021
Social Worker (Clinical)
4279 TIERRA REJADA RD
MOORPARK, CA 93021
Physician Assistant
4279 TIERRA REJADA RD
MOORPARK, CA 93021

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 Shirley Hartman's NPI number?

The NPI number for Shirley Hartman is 1821468851. It was assigned to this individual provider in the NPPES registry on October 2, 2015. The provider is also known as Shirley Il Chung Llmsw.

Where is Shirley Hartman located?

Shirley Hartman practices at 4279 Tierra Rejada Rd, Moorpark, CA 93021. The listed phone number is (805) 222-2326.

What is Shirley Hartman's specialty?

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

Is Shirley Hartman enrolled in Medicare?

Yes. Shirley Hartman 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.

Which organizations bill Medicare for Shirley Hartman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Hartman reassigns Medicare benefits to 2 organizations: Clinicas Del Camino Real Inc (Moorpark, CA) and Kathryn Miller Phd PC (Dearborn, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shirley Hartman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shirley Hartman accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Shirley Hartman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shirley Hartman was last updated on February 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.