Ellen Tracy Vargas, LCSW
Social Worker, Clinical in Berkeley, CA. Individual provider (NPI-1).
NPI number1649395385
StatusActive
Last updated in NPPESNov 27, 2018
Details
- NPI
- 1649395385
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ellen Tracy Vargas
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2007
- Last updated
- Nov 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW26233 | CA | Yes |
| 1041C0700X | Social Worker, Clinical | 26233 | CA | |
| 1041C0700X | Social Worker, Clinical | 073326-1 | NY |
Other names
- Ellen Tracy Argilla (Former Name)
Practice location
2421 4th StBerkeley, CA 94710-2430
Phone 510-859-3781
Mailing address
2421 4th StBerkeley, CA 94710-2430
Phone 510-859-3781
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