Healthcare Provider Details

I. General information

NPI: 1942637699
Provider Name (Legal Business Name): ADRIANA GUADALUPE ESCOBAR CORREA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2013
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2648 INTERNATIONAL BLVD STE 301
OAKLAND CA
94601-1580
US

IV. Provider business mailing address

2648 INTERNATIONAL BLVD STE 301
OAKLAND CA
94601-1580
US

V. Phone/Fax

Practice location:
  • Phone: 510-296-8821
  • Fax:
Mailing address:
  • Phone: 510-296-8821
  • 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:
Title or Position:
Credential:
Phone: