MEDICARE: COMMUNITY VIOLENCE SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	106H00000X	Marriage & Family Therapist
3	104100000X	Social Worker

General Provider Information

NPI Number	:	1366561441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY VIOLENCE SOLUTIONS

Provider Business Mailing Address
First Line	:	2101 VAN NESS ST
Second Line	:
City	:	SAN PABLO
State	:	CA
Zip	:	94806-3622
Country	:	US
Telephone Number	:	510-237-0113
Fax Number	:	510-237-0177

Provider Business Practice Location Address
First Line	:	2101 VAN NESS ST
Second Line	:
City	:	SAN PABLO
State	:	CA
Zip	:	94806-3622
Country	:	US
Telephone Number	:	510-237-0113
Fax Number	:	510-237-0177

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. RHONDA JAMES
Credential	:	MA, MFT
Telephone Number	:	510-237-0113

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	09/11/2025

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Directions to “COMMUNITY VIOLENCE SOLUTIONS ” Practice Location

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