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NPI Code Detail

MEDICARE: MS. ROXANN TERES CHAMBERS L.C.S.W.

MEDICARE:  MS. ROXANN TERES CHAMBERS  L.C.S.W.
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
11041C0700XClinical Social WorkerLCS11852CA

General Provider Information

NPI Number : 1760400360
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROXANN TERES CHAMBERS L.C.S.W.
Provider Business Mailing Address
First Line : 1625 FILBERT ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1625 FILBERT ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2890
Country : US
Telephone Number : 510-663-9092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 03/03/2021

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Directions to “ MS. ROXANN TERES CHAMBERS L.C.S.W.” Practice Location

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