Healthcare Provider Details

I. General information

NPI: 1982986584
Provider Name (Legal Business Name): AMELIA NEWTON GROSU MA, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMELIA MCDANIELS NEWTON

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 E 12TH ST SUITE 259
OAKLAND CA
94601-3424
US

IV. Provider business mailing address

PO BOX 2273
ALAMEDA CA
94501-0225
US

V. Phone/Fax

Practice location:
  • Phone: 510-269-9043
  • Fax:
Mailing address:
  • Phone: 510-504-4051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number87638
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number87638
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: