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Rosa Park

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

NPI number1619708682
StatusActive
Last updated in NPPESJan 23, 2026

Details

NPI
1619708682
Entity type
Individual (NPI-1)
Name
Rosa Park
Sex
Female
Sole proprietor
No
Enumeration date
Aug 12, 2024
Certification date
Jan 23, 2026
Last updated
Jan 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker–CAYes

Practice location

3800 Coolidge Ave
Oakland, CA 94602-3311

Phone 510-482-2244

Mailing address

3800 Coolidge Ave
Oakland, CA 94602-3311

Phone 510-482-2244

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