Anastasia Abbott

Individual provider Active NPI Clinical Social Worker · San Leandro, CA

NPI 1831535830 · NPPES record last updated Jun 19, 2019

Key facts

NPI
1831535830
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
87027 (CA)
Practice address
2275 Arlington Dr
San Leandro, CA 94578-1132
Phone
(510) 317-1444
NPI assigned
May 16, 2013
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
87027CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 87027 CA Yes

Addresses

Primary practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444

Other providers in San Leandro, CA

All providers in San Leandro, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.