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General NPI Number Information
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NPI Number | 1932483625
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Entity Type | Individual
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Provider Name | RACHAEL LILLITH SHONKWILER LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 3800 COOLIDGE AVE
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City | OAKLAND
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State | CA
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Zip | 94602-3311
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Country | US
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Telephone | 510-485-5344
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Fax | 510-530-2047
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Provider Business Mailing Address
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Address Line | 1320 WILLOW PASS RD STE 600
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City | CONCORD
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State | CA
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Zip | 94520-5292
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Country | US
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Telephone | 415-683-9640
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 30518
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 107517
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 30518
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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