Healthcare Provider Details

I. General information

NPI: 1841329778
Provider Name (Legal Business Name): THOMASINE MICHELE MCFARLIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2417 CARLETON ST
BERKELEY CA
94704-3310
US

IV. Provider business mailing address

2235 E 32ND ST
OAKLAND CA
94602-1531
US

V. Phone/Fax

Practice location:
  • Phone: 510-548-0304
  • Fax:
Mailing address:
  • Phone: 510-548-0304
  • Fax: 510-548-0304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS16732
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: