Healthcare Provider Details

I. General information

NPI: 1073476339
Provider Name (Legal Business Name): EVE FINE LICENSED CLINICAL SOCIAL WORKER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2991 SACRAMENTO ST UNIT 320
BERKELEY CA
94702-2534
US

IV. Provider business mailing address

2991 SACRAMENTO ST UNIT 320
BERKELEY CA
94702-2534
US

V. Phone/Fax

Practice location:
  • Phone: 510-838-1985
  • Fax:
Mailing address:
  • Phone:
  • 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: EVE FINE
Title or Position: PRESIDENT
Credential:
Phone: 510-838-1985