MS. SHELLYATTA JOHNSON BEARD LCSW 99953
NPI 1558809608
Social Worker - Clinical in San Jose, CA
About Ms. Shellyatta Johnson Beard Lcsw 99953 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHELLYATTA JOHNSON BEARD LCSW 99953 (NPI 1558809608) is an individual clinical provider in San Jose, California, licensed in California (99953) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Shellyatta Johnson Beard Lcsw 99953 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Shellyatta Beard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95124
- Reassigned Medicare billing, California enrollment
- 23 clinicians in this Medicare group
Gridley, CA 95948
- Reassigned Medicare billing, California enrollment
- 109 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Shellyatta Beard's NPI number?
The NPI number for Shellyatta Beard is 1558809608. It was assigned to this individual provider in the NPPES registry on February 9, 2017.
Where is Shellyatta Beard located?
Shellyatta Beard practices at 4850 Union Ave, San Jose, CA 95124. The listed phone number is (800) 913-2615.
What is Shellyatta Beard's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Shellyatta Beard enrolled in Medicare?
Yes. Shellyatta Beard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shellyatta Beard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shellyatta Beard reassigns Medicare benefits to 2 organizations: Wk Medical Group (San Jose, CA) and County Of Butte (Gridley, CA). Each 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 Shellyatta Beard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shellyatta Beard was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Ms. Shellyatta Johnson Beard, LCSW 99953 · NPI 1558809608
Clinical provider in San Jose, California. Individual provider, active in the CMS NPPES registry since February 9, 2017.
## Identity
- **NPI:** 1558809608 (Entity type: Individual)
- **Enumerated:** February 9, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 99953 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4850 UNION AVE, San Jose, CA 95124-5156
- **Phone:** (800) 913-2615
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wk Medical Group (NPI 1588083992, San Jose, CA); County Of Butte (NPI 1205994548, Gridley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1558809608) · Data from the CMS NPPES public registry.