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COUNSELING SERVICES FOR SENIORS A LICENSED CLINICAL SOCIAL WORKER CO NPI 1194030999


NPI Information

NPI: 1194030999
Provider Name: COUNSELING SERVICES FOR SENIORS, A LICENSED CLINICAL SOCIAL WORKER CO

Other Name: N/A

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
466 CRESCENT ST
#112
OAKLAND, CA
ZIP 94610
Phone: (510) 332-3631
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COUNSELING SERVICES FOR SENIORS, A LICENSED CLINICAL SOCIAL WORKER CO is a clinical social worker in Oakland, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. COUNSELING SERVICES FOR SENIORS, A LICENSED CLINICAL SOCIAL WORKER CO NPI is 1194030999. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is N/a.

The provider's business location address is:

466 CRESCENT ST
#112
OAKLAND, CA
ZIP 94610-662
Phone: (510) 332-3631
Fax: (866) 711-3422

The provider's authorized official is Meredith L Caplin .
The authorized official title is Ceo and has the following contact phone number (510) 332-3631.

The enumeration date for this NPI number is 8/17/2010 and was last updated on 12/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical23379CALIFORNIANo
21041C0700XSocial WorkerClinical25478CALIFORNIANo
31041C0700XSocial WorkerClinical24768CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EE495AMEDICARE PINCALIFORNIA
2CA172496MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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