Shantell Honeycutt

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

127034 Issued in CA

Practice address

1605 Jefferson St
Oakland, CA 94612-1215

Phone

(510) 714-0986

NPI assigned

Mar 28, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1316479504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 GEORGIA ST # C2920",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023270",
            "telephone_number": "510-714-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 JEFFERSON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121215",
            "telephone_number": "510-714-0986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 Bonita Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947091909",
            "country_code": "US",
            "telephone_number": "510-714-0986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONEYCUTT",
        "first_name": "SHANTELL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "127034",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "127034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Base: Parenting Fundamentals
• Kylee A Homecillo, DMD, MPH
• Homero a. Mak DDS, Inc
• Kenya Janai Homsley, MD
• Daniel Ramses Honesto Jr.
• Garrick Scott Hong, D.D.S
• Ian Poyin Hong
• Jeffrey C. Hong, MD
• Joseph Hong
• Judy Sungwon Hong, FNP

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.