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

MS. Shellyatta Johnson Beard, LCSW99953

Individual provider Clinical Social Worker · NPI 1558809608

MS. Shellyatta Johnson Beard, LCSW99953 is a Clinical Social Worker in San Jose, California. Qualified in 2016, 10 years ago. Practices with Wk Medical Group, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas and California.

Years since qualifying
10
Licensed in
AR, CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4850 Union Ave
San Jose, CA 95124-5156
Phone: (800) 913-2615
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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 99953 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 10511-C (AR)

Record details

NPI number1558809608
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW99953
Sole proprietorYes
NPI enumeratedFebruary 9, 2017
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wk Medical Group — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Jose