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SHANEEKA R ROBERTS
NPI 1205634680
Social Worker - Clinical in Oakland, CA

Active since March 03, 2025
2201 BROADWAY, OAKLAND, CA 94612(707) 563-1409 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shaneeka R Roberts NPPES

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

SHANEEKA R ROBERTS (NPI 1205634680) is a healthcare organization registered as a clinical in Oakland, California and active in the NPI registry since March 2025. The organization lists Shaneeka Roberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205634680
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSHANEEKA R ROBERTS
Location Address2201 BROADWAYOakland, CA 94612-3017
Mailing Address2201 BroadwayOakland, CA 94612-3017
Phone(707) 563-1409
Organization SubpartNo
Authorized OfficialShaneeka RobertsCeo · (707) 563-1409
Enumeration DateMarch 3, 2025
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1205634680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
2201 BROADWAY, Oakland, CA 94612
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaneeka R Roberts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shaneeka R Roberts, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shaneeka Roberts, LCSW
Clinical Social Worker
NPI 1699303537
3535 EL PORTAL DR APT A206
El Sobrante, CA 94803
(415) 670-0286
✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shaneeka R Roberts's NPI number?

The NPI number for Shaneeka R Roberts is 1205634680. It was assigned to this organization in the NPPES registry on March 3, 2025.

Where is Shaneeka R Roberts located?

Shaneeka R Roberts is located at 2201 Broadway, Oakland, CA 94612. The listed phone number is (707) 563-1409.

What is Shaneeka R Roberts's specialty?

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

Is Shaneeka R Roberts enrolled in Medicare?

Yes. Shaneeka R Roberts is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shaneeka R Roberts?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Shaneeka R Roberts. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shaneeka R Roberts was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.