Healthcare Provider Details

I. General information

NPI: 1669963914
Provider Name (Legal Business Name): ALAYSIA YAHSHUNNIE ALLE YOUNG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20642 JOHN DR
CASTRO VALLEY CA
94546-5103
US

IV. Provider business mailing address

20642 JOHN DR
CASTRO VALLEY CA
94546-5103
US

V. Phone/Fax

Practice location:
  • Phone: 510-785-5000
  • Fax: 510-785-5295
Mailing address:
  • Phone: 510-785-5000
  • Fax: 510-785-5295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number99529
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: