Individual ProviderRegina Ann Lewis ShieldsMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5665 College Ave, Suite 320-C, Oakland, CA 94618(510) 839-1740PECOS EnrollmentBased on the most recent information from CMS, provider Regina Ann Lewis Shields does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1174483952Provider TypeIndividualFull NameLewis Shields, Regina AnnCredentialPH.D. MFTGenderFemaleSole ProprietorYesEnumeration Date11/14/2025Last Updated11/14/2025Contact InformationPractice LocationPractice Address5665 College Ave, Suite 320-C, Oakland, CA 94618Phone(510) 839-1740FaxUnlisted FaxMailing LocationMailing Address5665 College Ave, Suite 320-C, Oakland, CA 94618Phone(510) 839-1740FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC27920California