Healthcare Provider Details

I. General information

NPI: 1942122312
Provider Name (Legal Business Name): JUDITH E ROSENBERG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1664 SOLANO AVE
ALBANY CA
94707-2118
US

IV. Provider business mailing address

1664 SOLANO AVE
ALBANY CA
94707-2118
US

V. Phone/Fax

Practice location:
  • Phone: 510-393-9277
  • Fax:
Mailing address:
  • Phone: 510-393-9277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JUDITH ROSENBERG
Title or Position: CEO
Credential:
Phone: 510-393-9277