Strength to Grow a Licensed Clinical Social Worker Corportation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

69890 Issued in CA

Legal business name

STRENGTH TO GROW A LICENSED CLINICAL SOCIAL WORKER CORPORTATION

Practice address

2880 Sacramento St
Suite a
Berkeley, CA 94702-2533

Phone

(510) 585-3709

Fax

(510) 298-5599

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Eryn Reeder, LCSW

Title

Ceo

Phone

(510) 435-0324

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1801330212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 SACRAMENTO ST",
            "address_2": "SUITE A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022533",
            "telephone_number": "510-585-3709",
            "fax_number": "510-298-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 SACRAMENTO ST",
            "address_2": "SUITE A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022533",
            "telephone_number": "510-585-3709",
            "fax_number": "510-298-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRENGTH TO GROW A LICENSED CLINICAL SOCIAL WORKER CORPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "ERYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-435-0324",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "69890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Elizabeth Straus, NP
• Jason Straussman
• Kierstan A Streber, LCSW
• Jacob Street
• Laer E. Hillary Streeter, MD, MPH
• Syd Susan Strong, PH D MFCC
• Laura Michelle Stropes, M.S., L.AC.
• Charles R Strotz, MD
• Julia Stroud, LCSW
• Emily Stuart

• Clinical Social Worker in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.