SearchCalifornia1041C0700X

Shellyatta Beard, LCSW 99953

NPI 1558809608 · on the registry since 2017 · sole proprietor

Practice

Address
4850 Union Ave
San Jose, CA 95124
Phone
(800) 913-2615
Organisation at this address
Lgtc Group
Lgtc Group
Wk Medical Group
Hospice Of The Valley
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
AR, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California