Healthcare Provider Details

I. General information

NPI: 1366841140
Provider Name (Legal Business Name): PATRICK MULKERN LCSW, LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 3356
OAKLAND CA
94609-0356
US

IV. Provider business mailing address

PO BOX 3356
OAKLAND CA
94609-0356
US

V. Phone/Fax

Practice location:
  • Phone: 925-386-6523
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number126713
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number100442
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: