Individual provider · Type 1 NPI

Shellyatta Johnson Beard, LCSW 99953

Clinical Social Worker · San Jose, CA

NPI number 1558809608 Active

Practice location

4850 Union Ave
San Jose, CA 95124-5156

Mailing address

7910 S Pinewood Dr
Pine Bluff, AR 71603-8963

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X10511-C (AR)
Clinical Social Worker Primary 1041C0700X99953 (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.