Healthcare Provider Details

I. General information

NPI: 1659294452
Provider Name (Legal Business Name): HUMANING 2GETHER, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 N SANTA CRUZ AVE STE 249
LOS GATOS CA
95030-7262
US

IV. Provider business mailing address

PO BOX 24862
SAN JOSE CA
95154-4862
US

V. Phone/Fax

Practice location:
  • Phone: 408-599-2617
  • Fax:
Mailing address:
  • Phone: 408-599-2617
  • 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: DIANA WILSON
Title or Position: PRESIDENT
Credential: LCSW
Phone: 408-599-2617