Active NPI
Two Tree Counseling Licensed Clinical Social Worker Corporation
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1710570379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TWO TREE COUNSELING LICENSED CLINICAL SOCIAL WORKER CORPORATION
- Practice address
- 445 Bellevue Ave Ste 100
Oakland, CA 94610-4923 - Phone
- (510) 545-2076
- Fax
- (510) 768-8658
- NPI assigned
- Feb 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Eli Williams, LCSW
- Title
- Psychotherapist
- Phone
- (510) 545-2076
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
445 Bellevue Ave Ste 100
Oakland, CA 94610-4923
Mailing address
1177 Bayview Ave
Oakland, CA 94610-4034
Phone (415) 332-9585
National Provider Directory
National Provider DirectoryLocations
445 Bellevue Ave
Ste 100
Oakland, CA 94610
Phone (510) 444-4068
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Berkeley, CA
- NPI 1881880557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1710570379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 BAYVIEW AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104034",
"telephone_number": "415-332-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 BELLEVUE AVE STE 100",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104923",
"telephone_number": "510-545-2076",
"fax_number": "510-768-8658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWO TREE COUNSELING LICENSED CLINICAL SOCIAL WORKER CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "ELI",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "510-545-2076",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.