Healthcare Provider Details

I. General information

NPI: 1508175357
Provider Name (Legal Business Name): NOA HELEN MANDEL LCSW, PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2010
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18400 CLIFTON WAY
CASTRO VALLEY CA
94546-2020
US

IV. Provider business mailing address

18400 CLIFTON WAY
CASTRO VALLEY CA
94546-2020
US

V. Phone/Fax

Practice location:
  • Phone: 510-537-3193
  • Fax:
Mailing address:
  • Phone: 510-537-3193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number76110
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number76110
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: