Healthcare Provider Details

I. General information

NPI: 1225511884
Provider Name (Legal Business Name): MS. CLARA JERONIMO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 BANCROFT AVE STE 267
OAKLAND CA
94605-2408
US

IV. Provider business mailing address

1807 SANTA RITA RD UNIT H151
PLEASANTON CA
94566-4779
US

V. Phone/Fax

Practice location:
  • Phone: 510-899-7445
  • Fax: 510-647-9408
Mailing address:
  • Phone: 925-209-1321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number119348
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: