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Lisa De Geneste, LCSW

Social Worker in Oakland, CA. Individual provider (NPI-1).

NPI number1124285705
StatusActive
Last updated in NPPESNov 29, 2018

Details

NPI
1124285705
Entity type
Individual (NPI-1)
Name
Ms. Lisa De Geneste
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
May 21, 2008
Last updated
Nov 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker25284CAYes
104100000X Social Worker14531FL
1041C0700X Social Worker, Clinical043132NY

Practice location

400 29th St Ste 405
Oakland, CA 94609-3549

Phone 917-566-5628

Mailing address

400 29th St Ste 405
Oakland, CA 94609-3549

Phone 917-566-5628

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