Healthcare Provider Details

I. General information

NPI: 1902651730
Provider Name (Legal Business Name): KAREN NAVARRO LICENSED CLINICAL SOCIAL WORKER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 DWIGHT WAY STE 3
BERKELEY CA
94704-2365
US

IV. Provider business mailing address

615 DURANT AVE
SAN LEANDRO CA
94577-1956
US

V. Phone/Fax

Practice location:
  • Phone: 415-323-3294
  • Fax:
Mailing address:
  • Phone: 415-323-3294
  • 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: MS. KAREN NAVARRO
Title or Position: PRESIDENT
Credential: LCSW
Phone: 415-323-3294