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

Rylie Nicole Shade, ASW

Individual provider Clinical Social Worker · NPI 1568184455

Rylie Nicole Shade, ASW is a Clinical Social Worker in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1266 14th St
Oakland, CA 94607-2247
Phone: (510) 273-4700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 126575 (CA)

Record details

NPI number1568184455
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorYes
NPI enumeratedSeptember 16, 2022
Last updated in NPPESAugust 14, 2025
Certification dateAugust 8, 2025

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