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NPI Code Detail

MEDICARE: ALEXIS KING-GALLMAN LCSW

MEDICARE: ALEXIS KING-GALLMAN LCSW
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
21041C0700XClinical Social Worker
31041S0200XSchool Social Worker

General Provider Information

NPI Number : 1518103860
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS KING-GALLMAN LCSW
Provider Business Mailing Address
First Line : 4400 ALMA AVE
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-3104
Country : US
Telephone Number : 510-538-8833
Fax Number :
Provider Business Practice Location Address
First Line : 4400 ALMA AVE
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-3104
Country : US
Telephone Number : 510-538-8833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2008
Last Update Date : 09/04/2025

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Directions to “ ALEXIS KING-GALLMAN LCSW” Practice Location

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