Individual provider · Type 1 NPI

Shannon Matta

Clinical Social Worker · Pasadena, CA

NPI number 1497157549 Active

Practice location

867 N Fair Oaks Ave
Pasadena, CA 91103-3050

Mailing address

760 Mountain View St
Altadena, CA 91001-4925

Other practice locations

  • 14677 Merrill Ave, Fontana, CA 92335-4219 · (951) 643-2340
  • 526 S San Pedro St, Los Angeles, CA 90013-2102 · (213) 488-9559

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X96973 (CA)
Clinical Social Worker Primary 1041C0700X96973 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1497157549

Shannon Matta's National Provider Identifier is 1497157549, issued on Sep 19, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pasadena, CA. The record was last updated on Apr 2, 2025.