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FRED FINCH YOUTH CENTER NPI 1912031949


NPI Information

NPI: 1912031949
Provider Name: FRED FINCH YOUTH CENTER

Other Name: FRED FINCH YOUTH CENTER- SKYLINE HIGH SCHOOL

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
12250 SKYLINE BLVD
OAKLAND, CA
ZIP 94619
Phone: (510) 879-3060
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FRED FINCH YOUTH CENTER 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. FRED FINCH YOUTH CENTER NPI is 1912031949. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Fred Finch Youth Center- Skyline High School.

The provider's business location address is:

12250 SKYLINE BLVD
OAKLAND, CA
ZIP 94619-425
Phone: (510) 879-3060

The provider's authorized official is Thomas N Alexander .
The authorized official title is President And Ceo and has the following contact phone number (510) 482-2244.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 9/23/2016.


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
1101YM0800XCounselorMental HealthNo
2103TC2200XPsychologistClinical Child & AdolescentNo
3106H00000XMarriage & Family TherapistNo
41041C0700XSocial WorkerClinicalYes

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: 11/14/2023

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