Healthcare Provider Details

I. General information

NPI: 1558714782
Provider Name (Legal Business Name): AARON R BRAUN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2016
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4319 PIEDMONT AVE FL 2
OAKLAND CA
94611-4755
US

IV. Provider business mailing address

295 LENOX AVE APT 302
OAKLAND CA
94610-4655
US

V. Phone/Fax

Practice location:
  • Phone: 847-924-2751
  • Fax:
Mailing address:
  • Phone: 847-924-2751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12122
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: