Individual provider Active NPI

Shenelle Micole Foster, LCSW, LICSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1982113841
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW132947 Issued in CA
Practice address
490 43Rd St # 1020
Oakland, CA 94609-2138
Phone
(510) 682-2116
NPI assigned
Sep 22, 2017
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-4715 HI
Clinical Social Worker 1041C0700X LCSW132947 CA Primary
Clinical Social Worker 1041C0700X LC200003346 DC

Addresses

Primary practice location

490 43Rd St # 1020
Oakland, CA 94609-2138

Mailing address

490 43Rd St # 1020
Oakland, CA 94609-2138
Phone (510) 682-2116

Other practice location 1

1003 Bishop St Ste 2700
Honolulu, HI 96813-6475
Phone (808) 476-8983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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

Enrollment IDStateProvider typePAC IDDetails
I20220713003373 HI Practitioner - Clinical Social Worker 6901287515 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW132947CAMDClinical Social Worker
LC200003346DCMDClinical Social Worker
LCSW-4715HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan Inc Current Accepting new patients
Kaiser Foundation Health Plan, Inc CurrentSince Mar 6, 2023 Accepting new patients
We Prescribe Inc CurrentSince Mar 16, 2022 Accepting new patients
Kaiser Foundation Health Plan Inc CurrentSince Mar 6, 2023 Accepting new patients

Locations

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 432-8000

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1982113841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 43RD ST # 1020",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092138",
            "telephone_number": "510-682-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 43RD ST # 1020",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092138",
            "telephone_number": "510-682-2116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Bishop St Ste 2700",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968136475",
            "country_code": "US",
            "telephone_number": "808-476-8983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "SHENELLE",
        "middle_name": "MICOLE",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4715",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW132947",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200003346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.