Healthcare Provider Details

I. General information

NPI: 1386596104
Provider Name (Legal Business Name): ALLISON F ZAITCHIK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

874 NEILSON ST
BERKELEY CA
94707-1816
US

IV. Provider business mailing address

874 NEILSON ST
BERKELEY CA
94707-1816
US

V. Phone/Fax

Practice location:
  • Phone: 508-284-1806
  • Fax:
Mailing address:
  • Phone: 508-284-1806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number86795
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: