Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jennifer Travers Shallat, LCSW

Individual provider Clinical Social Worker · NPI 1629271499

MS. Jennifer Travers Shallat, LCSW is a Clinical Social Worker in Oakland, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

390 40th St
Oakland, CA 94609-2633
Phone: (510) 653-5040
Fax: (510) 653-6475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW 23320 (CA)

Record details

NPI number1629271499
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 7, 2007
Last updated in NPPESDecember 1, 2010

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