Healthcare Provider Details

I. General information

NPI: 1962228197
Provider Name (Legal Business Name): MARIA ANGELICA ZABIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009B SOLANO AVE
BERKELEY CA
94706-1617
US

IV. Provider business mailing address

1244 CARLOTTA AVE
BERKELEY CA
94707-2707
US

V. Phone/Fax

Practice location:
  • Phone: 510-438-1996
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number124863
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: