Shaneeka Renee Roberts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

93609 Issued in CA

Practice address

3535 El Portal Dr Apt A206
El Sobrante, CA 94803-2762

Phone

(415) 670-0286

NPI assigned

Mar 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shaneeka R Roberts

  • Clinical Social Worker
  • Oakland, CA
  • NPI 1205634680
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1699303537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 EL PORTAL DR APT A206",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948032762",
            "telephone_number": "415-670-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 EL PORTAL DR APT A206",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948032762",
            "telephone_number": "415-670-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHANEEKA",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reknown Counseling Inc
• Arvil Reyes, DDS
• Kenneth Dimagmaliw Reyes, DDS
• Gerardo Reynaga Gonzalez
• Daniel James Rixen, D.C.
• Sadie Rosen Robertson
• Gabriela Rodriguez Ruiz
• Patricia Helen Rogers
• Adina Rachel Rose, MFT
• Florimae Paimalan Salandanan

• Clinical Social Worker in El Sobrante, CA
• Providers in El Sobrante, 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 Mar 27, 2020; 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.