Mindful Healing Licensed Clinical Social Worker PC
Social Worker, Clinical in Emeryville, CA. Organization (NPI-2).
NPI number1245067321
StatusActive
Last updated in NPPESJul 29, 2025
Details
- NPI
- 1245067321
- Entity type
- Organization (NPI-2)
- Legal business name
- Mindful Healing Licensed Clinical Social Worker PC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2024
- Certification date
- Jul 29, 2025
- Last updated
- Jul 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1394 Park AveEmeryville, CA 94608-3537
Phone 510-384-3373
Mailing address
1394 Park AveEmeryville, CA 94608-3537
Phone 510-384-3373
Authorized official
Rebecca M Olsen
Owner
5103843373
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All 16 Clinical Social Worker providers in Emeryville · All 827 providers in Emeryville
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