Dajenya Shoshanna Kafele, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27715 Issued in CA

Practice address

3150 Hilltop Mall Rd
Suite 41
Richmond, CA 94806-1921

Phone

(510) 672-0772

NPI assigned

Aug 20, 2009

Last updated

Nov 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1467684795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HILLTOP MALL RD",
            "address_2": "SUITE 41",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061921",
            "telephone_number": "510-672-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HILLTOP MALL RD",
            "address_2": "SUITE 41",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061921",
            "telephone_number": "510-672-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFELE",
        "first_name": "DAJENYA",
        "middle_name": "SHOSHANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW 23043",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willard Jones
• Ra-Chel N. Jordan-Moore, MD
• Tana Josephs, LCSW
• Joshua Rose Licensed Clinical Social Worker Inc. (Family Works Community Counseling)
• Sunjae Jung
• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Skyview Pharmacy 124)
• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Mob 1 Phy)
• Kaiser Foundation Hospitals (Kaiser Outpatient Hospital Pharmacy 123)
• Kaiser Foundation Hospitals (Kaiser FDN HSP Inp Phy 12a)
• Kaiser Permanente

• Clinical Social Worker in Richmond, CA
• Providers in Richmond, 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 Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.