MS. JENNIFER TRAVERS SHALLAT LCSW
NPI 1629271499
Social Worker - Clinical in Oakland, CA

Active since June 07, 2007
390 40TH ST, OAKLAND, CA 94609(510) 653-5040(510) 653-6475 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Jennifer Travers Shallat Lcsw NPPES

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

MS. JENNIFER TRAVERS SHALLAT LCSW (NPI 1629271499) is an individual clinical provider in Oakland, California, licensed in California (LCSW 23320) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1629271499
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JENNIFER TRAVERS SHALLATCredential: LCSW
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 653-5040 · Fax (510) 653-6475
Fax(510) 653-6475
Sole ProprietorNo
Enumeration DateJune 7, 2007
Last NPPES UpdateDecember 1, 2010
NPI 1629271499 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 · LCSW 23320
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

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.

Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Counselor (Mental Health)
390 40TH ST
OAKLAND, CA 94609
Registered Nurse
390 40TH ST
OAKLAND, CA 94609
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
390 40TH ST
OAKLAND, CA 94609
Counselor (Mental Health)
390 40TH ST
OAKLAND, CA 94609

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 Jennifer Shallat's NPI number?

The NPI number for Jennifer Shallat is 1629271499. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Jennifer Shallat located?

Jennifer Shallat practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 653-5040.

What is Jennifer Shallat'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 Jennifer Shallat was last updated on December 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.