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General NPI Number Information
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NPI Number | 1366082950
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Entity Type | Individual
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Provider Name | LA TRONDA SHAWNA LUMPKINS MSW, MBA, ASW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2020
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 459 W MACARTHUR BLVD
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City | OAKLAND
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State | CA
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Zip | 94609-2808
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Country | US
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Telephone | 877-459-6463
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Fax | --
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Provider Business Mailing Address
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Address Line | 1675 7TH ST UNIT 24623
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City | OAKLAND
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State | CA
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Zip | 94615-0002
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Country | US
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Telephone | 510-575-1370
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Fax | --
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | ACSW104070
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ACSW104070
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State | CA
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