Individual provider · NPI-1

Angelica Monique Addison, ASW

Social Worker · Oakland, CA

NPI number1730899428
StatusActive
Last updated in NPPESDec 2, 2022

Details

NPI
1730899428
Entity type
Individual (NPI-1)
Name
Miss Angelica Monique Addison
Credential
ASW
Sex
Female
Sole proprietor
No
Enumeration date
Dec 2, 2022
Certification date
Dec 1, 2022
Last updated
Dec 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker110684CAYes

Practice location

525 21st St
Oakland, CA 94612-1605

Phone 510-587-3400

Mailing address

465 Buena Vista Ave Apt 311
Alameda, CA 94501-1954

Phone 510-228-2070

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