KENYA SHERROD SULLIVAN (NPI# 1063613156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063613156 |
| Entity Type | Individual |
| Full Name | KENYA SHERROD SULLIVAN |
| Credential | MSW |
| Practice Address |
7200 Bancroft Oakland CA 94602 |
| Mailing Address |
2054 Central Street Hercules CA 94547 |
| Practice Telephone | 5107773835 |
| Mailing Telephone | 5107246424 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 20040 | CA | Behavioral Health & Social Service Providers |
| Street Address |
7200 BANCROFT |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947958 | Diep Le | Social Worker | 991 39th St Apt B, Oakland, CA 94608-3899 | 2020-09-17 |
| 1518440429 | Shannon Mikeal Carroll | Social Worker | 2640 International Blvd, Oakland, CA 94601-1512 | 2018-09-07 |
| 1467828491 | Caitlin Pugh | Social Worker | 386 14th Street, Oakland, CA 94612 | 2015-08-13 |
| 1053704460 | Ralecia Christina Marks | Social Worker | 5440 Ygnacio Ave, Oakland, CA 94601-5538 | 2015-03-09 |
| 1649668856 | Steven Zhu | Social Worker | 3477 Boston Ave, Oakland, CA 94602-2931 | 2014-12-23 |
| 1023419322 | Janine Moa | Social Worker | 4087 Lincoln Ave, Oakland, CA 94602-2429 | 2014-09-06 |
| 1861805772 | Maimunat Talatu Suleman | Social Worker | 1955 San Pablo Avenue, Oakland, CA 94612 | 2014-06-09 |
| 1386071934 | Stanton Edgar Richardson Jr. | Social Worker | 2116 Broadway Street, Oakland, CA 94612 | 2013-09-27 |
| 1669806287 | Norma Raye Ward | Social Worker | 2116 Broadway Ave, Oakland, CA 94612 | 2013-08-30 |
| 1568803484 | Catherine Rose Morelix | Social Worker | 412 E 19th St Apt 3, Oakland, CA 94606-1830 | 2013-07-08 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.