Shalom Spencer, LCSW
Social Worker, Clinical in Oakland, CA. Individual provider (NPI-1).
NPI number1760982003
StatusActive
Last updated in NPPESFeb 13, 2018
Details
- NPI
- 1760982003
- Entity type
- Individual (NPI-1)
- Name
- Shalom Spencer
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2018
- Last updated
- Feb 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 19295 | CA | Yes |
Practice location
925 Brockhurst StOakland, CA 94608-4222
Phone 510-923-9600 · Fax 510-923-9606
Mailing address
925 Brockhurst StOakland, CA 94608-4222
Phone 510-923-9600 · Fax 510-923-9606
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