Shaquila Shantel Marie Smith
Social Worker, Clinical in Berkeley, CA. Individual provider (NPI-1).
NPI number1932811809
StatusActive
Last updated in NPPESSep 18, 2026
Details
- NPI
- 1932811809
- Entity type
- Individual (NPI-1)
- Name
- Shaquila Shantel Marie Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2022
- Certification date
- Sep 18, 2026
- Last updated
- Sep 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 141985 | CA | Yes |
| 101Y00000X | Counselor | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
2809 Telegraph AveBerkeley, CA 94705-1118
Phone 510-123-4567
Mailing address
542 S 19th StRichmond, CA 94804-3804
Other practice locations
1109 Sir Francis Drake Blvd
Kentfield, CA 94904-1418
Kentfield, CA 94904-1418
Phone 415-256-9995
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