Provider Demographics
NPI:1639258163
Name:TAJII, SHELVEY (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:SHELVEY
Middle Name:
Last Name:TAJII
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 E PALMDALE BLVD
Mailing Address - Street 2:A
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-4957
Mailing Address - Country:US
Mailing Address - Phone:661-223-5410
Mailing Address - Fax:661-273-9357
Practice Address - Street 1:39959 SIERRA HWY
Practice Address - Street 2:STE 150
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-3313
Practice Address - Country:US
Practice Address - Phone:661-223-5410
Practice Address - Fax:661-273-9357
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA260041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical