Omar Anthony Bocobo, LCSW
Social Worker, Clinical in Oakland, CA. Individual provider (NPI-1).
NPI number1124069802
StatusActive
Last updated in NPPESFeb 10, 2012
Details
- NPI
- 1124069802
- Entity type
- Individual (NPI-1)
- Name
- Mr. Omar Anthony Bocobo
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2006
- Last updated
- Feb 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 21511 | CA | Yes |
Practice location
2579 San Pablo AveOakland, CA 94612-1159
Phone 510-446-7110 · Fax 510-446-7191
Mailing address
2579 San Pablo AveOakland, CA 94612-1159
Phone 510-581-6160 · Fax 510-581-6196
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