Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shalimar Fayez Boulos, LCSW, MSW, MPH

Individual provider Clinical Social Worker · NPI 1013434950

Shalimar Fayez Boulos, LCSW, MSW, MPH is a Clinical Social Worker in Oakland, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
MSW — Master of Social Work
The graduate degree in social work.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

390 40th St
Oakland, CA 94609-2633
Phone: (510) 613-0330
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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 115300 (CA)

Record details

NPI number1013434950
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , MSW , MPH
Sole proprietorNo
NPI enumeratedAugust 22, 2017
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

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