Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannen Isabelle Ponce Mosqueda, LCSW

Individual provider Clinical Social Worker · NPI 1790489433

Shannen Isabelle Ponce Mosqueda, LCSW is a Clinical Social Worker in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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

1588 W Rene Dr
Anaheim, CA 92802-1353
Phone: (714) 348-4530
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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 118837 (CA)

Record details

NPI number1790489433
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 28, 2023
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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