Individual provider · Type 1 NPI
Shellyatta Johnson Beard, LCSW 99953
Clinical Social Worker · San Jose, CA
Practice location
4850 Union Ave
San Jose, CA 95124-5156
Mailing address
7910 S Pinewood Dr
Pine Bluff, AR 71603-8963
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 10511-C (AR) |
| Clinical Social Worker Primary | 1041C0700X | 99953 (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 1558809608
Shellyatta Johnson Beard, LCSW 99953's National Provider Identifier is 1558809608, issued on Feb 9, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jose, CA. The record was last updated on Jan 6, 2025.