Healthcare Provider Details

I. General information

NPI: 1780028548
Provider Name (Legal Business Name): MELISSA GILBARG LCSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 08/24/2020
Certification Date: 08/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936 CARLOTTA DR
CONCORD CA
94519-1358
US

IV. Provider business mailing address

2086 PHEASANT DR
HERCULES CA
94547-1636
US

V. Phone/Fax

Practice location:
  • Phone: 925-682-8000
  • Fax:
Mailing address:
  • Phone: 508-982-8746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW95634
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: