Healthcare Provider Details

I. General information

NPI: 1669189726
Provider Name (Legal Business Name): ADAM CAHEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2022
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 CLEMENT AVE
ALAMEDA CA
94501-7063
US

IV. Provider business mailing address

468 CORBETT AVE
SAN FRANCISCO CA
94114-2218
US

V. Phone/Fax

Practice location:
  • Phone: 510-459-6336
  • Fax:
Mailing address:
  • Phone: 415-624-7676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number111091
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: