Active NPI
Shakeria Kerisha Slater
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1003465113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 128895
- Practice address
- 9343 Tech Center Dr Ste 175
Sacramento, CA 95826-2592 - Phone
- (916) 297-0886
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 128895 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
9343 Tech Center Dr Ste 175
Sacramento, CA 95826-2592
Mailing address
390 40TH St
Oakland, CA 94609-2633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1003465113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 40TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9343 TECH CENTER DR STE 175",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262592",
"telephone_number": "916-297-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "SHAKERIA",
"middle_name": "KERISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "128895",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.