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NPI Code Detail

MEDICARE: MS. SIERRA SHIONTAURRA MCKINNEY MSW

MEDICARE: MS. SIERRA SHIONTAURRA MCKINNEY MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker80573CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053830497
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SIERRA SHIONTAURRA MCKINNEY MSW
Provider Business Mailing Address
First Line : 150 LINDEN ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2538
Country : US
Telephone Number : 510-273-4700
Fax Number :
Provider Business Practice Location Address
First Line : 150 LINDEN ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2538
Country : US
Telephone Number : 510-273-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2017
Last Update Date : 05/05/2026

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