MEDICARE: AARON R BRAUN

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
1	1041C0700X	Clinical Social Worker	12122	CA

General Provider Information

NPI Number	:	1558714782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON R BRAUN

Provider Business Mailing Address
First Line	:	295 LENOX AVE APT 302
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-4655
Country	:	US
Telephone Number	:	847-924-2751
Fax Number	:

Provider Business Practice Location Address
First Line	:	4319 PIEDMONT AVE FL 2
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-4755
Country	:	US
Telephone Number	:	847-924-2751
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2016
Last Update Date	:	06/06/2026

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