Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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De Anna De Shaun Dove, LCSW

Individual provider Clinical Social Worker · NPI 1063372886

De Anna De Shaun Dove, LCSW is a Clinical Social Worker in Los Angeles, California. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3680 Wilshire Blvd Ste P04
Los Angeles, CA 90010-2709
Phone: (424) 258-0155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 135318 (CA)

Record details

NPI number1063372886
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 14, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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