Evelyn E Vides
Individual provider Active NPI Clinical Social Worker · Martinez, CA
NPI 1205955291 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1205955291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 89969 (CA)
- Practice address
- 1350 Arnold Dr Ste 102
Martinez, CA 94553-4190 - Phone
- (925) 313-9562
- Fax
- (925) 228-2932
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89969 | CA | MD | Psychiatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desarrollo Familiar, Inc | Past |
Accepting new patients | |
| Desarrollo Familiar | Past | Accepting new patients | |
| Contra Costa County | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 89969 | CA | Yes |
Addresses
Primary practice location
1350 Arnold Dr Ste 102
Martinez, CA 94553-4190
Mailing address
3485 Chandler Cir
Bay Point, CA 94565-6917
Phone (925) 787-9303
Other practice location 1
3478 Buskirk Ave Ste 260
Pleasant Hill, CA 94523-4358
Phone (925) 943-1794
Other practice location 2
1266 14th St
Oakland, CA 94607-2205
Phone (510) 273-4700
Other practice location 3
2021 Main St
Oakley, CA 94561-3302
Phone (925) 776-8223
Other practice location 4
205 39th St
Richmond, CA 94805
Phone (510) 412-5930
Other providers in Martinez, CA
- Allan Christian Velazquez
- Pauline Velez
- Stacy Velles
- Stephanie M Vera
- Guadalupe Verduzco Galvan
- Jacqueline Villa
- Angela Villareal
- Kelly Lorraine Villegas
- Carl Yanga Vinson
- Maria Gratiana Vitug
All providers in Martinez, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.