Individual provider · NPI-1

Jesse Adams, LCSW

Social Worker, Clinical · San Leandro, CA

NPI number1558779231
StatusActive
Last updated in NPPESMar 21, 2023

Details

NPI
1558779231
Entity type
Individual (NPI-1)
Name
Jesse Adams
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2014
Certification date
Mar 21, 2023
Last updated
Mar 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical114042CAYes

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

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