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SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH
NPI 1013434950
Social Worker - Clinical in Oakland, CA

Active since August 22, 2017
390 40TH ST, OAKLAND, CA 94609(510) 613-0330 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, May 18, 2022, Dec 3, 2021 and 2 more (5 updates tracked since 2017).

About Shalimar Fayez Boulos Lcsw, Msw, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH (NPI 1013434950) is an individual clinical provider in Oakland, California, licensed in California (115300) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1013434950
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHALIMAR FAYEZ BOULOSCredential: LCSW, MSW, MPH
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 613-0330
Phone(510) 613-0330
Sole ProprietorNo
Enumeration DateAugust 22, 2017
Last NPPES UpdateApril 7, 20255 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1013434950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 115300
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
390 40TH ST, Oakland, CA 94609
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THUYMINH NGUYEN
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
NOAH MERL
Social Worker
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
VIRGIL GABA BAGAOISAN
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 306-5361
DANIELLE CHRISJAN STAUFFER
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 723-1907
KIMBERLY ESPINOZA
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
AUJANAE JACKSON
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
KIMBERLY JANE GATLIN
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
LISA NICOLE DEVORE
Counselor
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 247-8235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shalimar Boulos's NPI number?

The NPI number for Shalimar Boulos is 1013434950. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Shalimar Boulos located?

Shalimar Boulos practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 613-0330.

What is Shalimar Boulos's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shalimar Boulos was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.