MEDICARE: SHANNON MICHELLE MEENA

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	116074	CA

General Provider Information

NPI Number	:	1851144471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON MICHELLE MEENA

Provider Business Mailing Address
First Line	:	316 26TH ST
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-2108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	934 HERMOSA AVE STE 11
Second Line	:
City	:	HERMOSA BEACH
State	:	CA
Zip	:	90254-4122
Country	:	US
Telephone Number	:	661-644-7152
Fax Number	:

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

Provider Enumeration Date	:	04/11/2024
Last Update Date	:	04/11/2024

Similar Medicare Providers

1114873320 — MS. JULIA CALLAS AMFT
Practice Location Address:

934 HERMOSA AVE STE 11
HERMOSA BEACH, CA
90254-4122

Practice Phone: 310-989-6465
Practice Fax:

1073869244 — WHITNEY BOOLE WILLIAMS LMFT
Practice Location Address:

934 HERMOSA AVE , SUITE 11
HERMOSA BEACH, CA
90254-4122

Practice Phone: 310-989-6465
Practice Fax:

1871449710 — BEACH CITIES PSYCHOTHERAPY, A MARRIAGE AND FAMILY THERAPY CORPORATION
Practice Location Address:

934 HERMOSA AVE STE 11
HERMOSA BEACH, CA
90254-4122

Practice Phone: 310-989-6465
Practice Fax:

1275663528 — KELLY J ROSEKRANS
Practice Location Address:

934 HERMOSA AVE , SUITE 11
HERMOSA BEACH, CA
90254-4122

Practice Phone: 323-250-2016
Practice Fax:

1356048219 — MS. SHRUTI SHANKAR MAP, MA AMFT
Practice Location Address:

934 HERMOSA AVE STE 11
HERMOSA BEACH, CA
90254-4122

Practice Phone: 310-957-2122
Practice Fax:

1598505117 — GABRIELLE NORA NAHLE AMFT
Practice Location Address:

934 HERMOSA AVE STE 11
HERMOSA BEACH, CA
90254-4122

Practice Phone: 323-690-3837
Practice Fax:

Directions to “ SHANNON MICHELLE MEENA ” 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.