MEDICARE: SHANNON CROTTS CROTTS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCS 21498	CA

General Provider Information

NPI Number	:	1144242025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON CROTTS CROTTS LCSW

Provider Business Mailing Address
First Line	:	5863 CANDLEWOOD ST
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90713-1828
Country	:	US
Telephone Number	:	562-857-5775
Fax Number	:

Provider Business Practice Location Address
First Line	:	17542 IRVINE BLVD STE F
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-3155
Country	:	US
Telephone Number	:	714-333-5951
Fax Number	:	714-508-1935

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1417894825 — NAVEEDA HABIBI, MARRIAGE AND FAMILY THERAPIST ,PROFESSIONAL CORPORATION
Practice Location Address:

17542 IRVINE BLVD STE D
TUSTIN, CA
92780-3155

Practice Phone: 949-331-5457
Practice Fax:

1205852761 — DR. PISHYA CHAMKASEM DDS
Practice Location Address:

17542 IRVINE BLVD , SUITE D
TUSTIN, CA
92780-3155

Practice Phone: 714-573-1224
Practice Fax:

1255357711 — CHAMKASEM, DDS, INC.
Practice Location Address:

17542 IRVINE BLVD , SUITE D
TUSTIN, CA
92780-3155

Practice Phone: 714-573-1224
Practice Fax:

1376563866 — JUDI LYNN BAGLEY LMFT
Practice Location Address:

17542 IRVINE BLVD STE F
TUSTIN, CA
92780-3155

Practice Phone: 714-508-1919
Practice Fax: 714-508-1935

1003839614 — JASON WILLIAM AUSTIN MFT
Practice Location Address:

17542 IRVINE BLVD , #F
TUSTIN, CA
92780-3155

Practice Phone: 714-508-1919
Practice Fax:

1619990223 — MR. SANDEE JEAN BAKER MFT
Practice Location Address:

17542 IRVINE BLVD STE F
TUSTIN, CA
92780-3155

Practice Phone: 714-508-1919
Practice Fax:

Directions to “ SHANNON CROTTS CROTTS LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.