Kristy Shanks, LCSW is a
Social Worker based in Oakland, California. Kristy Shanks is licensed to practice in California (license number 103353) and her current practice location is
5297 College Ave Ste 103, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 788-0005.
NPI number for Kristy Shanks is 1801349972 and her current mailing address is 2828 College Ave Apt 17, Berkeley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801349972.
Healthcare Provider's Profile
Full Name | Kristy Shanks |
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Gender | Female |
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Speciality | Social Worker |
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Location | 5297 College Ave Ste 103, Oakland, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801349972
- Provider Enumeration Date: 07/26/2016
- Last Update Date: 11/05/2021
Medical Identifiers
Medical identifiers for Kristy Shanks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801349972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 84091 (California) | Secondary |
104100000X | Social Worker | 84091 (California) | Secondary |
104100000X | Social Worker | 103353 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristy Shanks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristy Shanks, LCSW 2828 College Ave Apt 17, Berkeley, CA 94705-2138 Ph: (608) 214-0657 | Kristy Shanks, LCSW 5297 College Ave Ste 103, Oakland, CA 94618-1797 Ph: (510) 788-0005 |
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