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SHAWNTATE JOHNSON
NPI 1164129169
Case Manager/Care Coordinator in Berkeley, CA

Active since February 09, 2023
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704(510) 981-5290(510) 981-5265 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2024, Feb 9, 2023 (2 updates tracked since 2023).

About Shawntate Johnson NPPES

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

SHAWNTATE JOHNSON (NPI 1164129169) is an individual case manager/care coordinator provider in Berkeley, California and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1164129169
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSHAWNTATE JOHNSON
Location Address2640 MARTIN LUTHER KING JR WAYBerkeley, CA 94704-3238
Mailing Address2640 Martin Luther King Jr WayBerkeley, CA 94704-3238 · (510) 981-5290 · Fax (510) 981-5265
Phone(510) 981-5290
Fax(510) 981-5265
Sole ProprietorYes
Enumeration DateFebruary 9, 2023
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1164129169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCommunity Health WorkerTaxonomy 172V00000X
2640 MARTIN LUTHER KING JR WAY, Berkeley, CA 94704
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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.

MARGARET SUSAN HIGGINS RN
Registered Nurse (Psychiatric/Mental Health)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JULIE ANN OQUERIZA MARIANO
Registered Nurse (Psychiatric/Mental Health, Adult)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JAMES RUBIN GLENN
Social Worker
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
LELAND S JOHNSON MFT
Marriage & Family Therapist
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
BRYAN THUNSTEDT RN
Registered Nurse
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MR. MICHAEL HILTON MARCHANT LCSW
Social Worker (Clinical)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MISS AMANDA HARTMAN
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
KATHARINE VIDT
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290

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 Shawntate Johnson's NPI number?

The NPI number for Shawntate Johnson is 1164129169. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Shawntate Johnson located?

Shawntate Johnson practices at 2640 Martin Luther King Jr Way, Berkeley, CA 94704. The listed phone number is (510) 981-5290.

What is Shawntate Johnson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Shawntate Johnson was last updated on April 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.