MRS. SHELLY KWAK
NPI 1164624441
Marriage & Family Therapist in Concord, CA

Q: What is Shelly Kwak's NPI number?

The NPI number for Shelly Kwak is 1164624441. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Q: What is Shelly Kwak's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Kwak was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since May 31, 2007

1450 CIVIC CT STE 200, CONCORD, CA 94520(925) 671-0777 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2020, Mar 29, 2018 (2 updates tracked since 2018).

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About Mrs. Shelly Kwak NPPES

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

MRS. SHELLY KWAK (NPI 1164624441) is an individual marriage & family therapist in Concord, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1164624441

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. SHELLY KWAK

Location Address1450 CIVIC CT STE 200Concord, CA 94520-7955

Mailing Address1450 Civic Ct Ste 200Concord, CA 94520-7955 · (925) 671-0777 · Fax (925) 685-0377

Phone(925) 671-0777

Sole ProprietorNo

Enumeration DateMay 31, 2007

Last NPPES UpdateFebruary 27, 20202 updates tracked since enumeration

✔ NPI 1164624441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedSocial WorkerTaxonomy 104100000X

1450 CIVIC CT STE 200, Concord, CA 94520

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Other Providers at the Same Location NPPES

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

JILL PETTEGREW LMFT

Marriage & Family Therapist

1450 CIVIC CT STE 200
CONCORD, CA 94520

Contra Costa County (925) 671-0777

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 Shelly Kwak's NPI number?

The NPI number for Shelly Kwak is 1164624441. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Shelly Kwak located?

Shelly Kwak practices at 1450 Civic Ct Ste 200, Concord, CA 94520. The listed phone number is (925) 671-0777.

What is Shelly Kwak's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Shelly Kwak was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.