Licensed Clinical Social Worker Community Alliance PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LICENSED CLINICAL SOCIAL WORKER COMMUNITY ALLIANCE PC

Practice address

301 S 23Rd St
Richmond, CA 94804-2807

Phone

(510) 833-7632

NPI assigned

Nov 1, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Mitchell Snider, LCSW

Title

Ceo

Phone

(916) 521-9447

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604188800000",
    "number": "1588264113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3277",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945780277",
            "telephone_number": "916-521-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 23RD ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948042807",
            "telephone_number": "510-833-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICENSED CLINICAL SOCIAL WORKER COMMUNITY ALLIANCE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-521-9447",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Richmond, CA
• Providers in Richmond, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.