Anthony Ray Alcutt
Individual provider Active NPI Social Worker · Berkeley, CA
NPI 1558461558 · NPPES record last updated Jul 12, 2007
Key facts
- NPI
- 1558461558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 2640 Martin Luther King Jr Way
Berkeley, CA 94704-3238 - Phone
- (510) 981-5290
- Fax
- (510) 981-5265
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
2640 Martin Luther King Jr Way
Berkeley, CA 94704-3238
Mailing address
2640 Martin Luther King Jr Way
Berkeley, CA 94704-3238
Phone (510) 981-5290
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2007. 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.