Healthcare Provider Details

I. General information

NPI: 1205043643
Provider Name (Legal Business Name): MICHELLE CHRISTINE MASON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5758 W LAS POSITAS BLVD
PLEASANTON CA
94588-4083
US

IV. Provider business mailing address

5758 W LAS POSITAS BLVD
PLEASANTON CA
94588-4083
US

V. Phone/Fax

Practice location:
  • Phone: 925-596-1133
  • Fax:
Mailing address:
  • Phone: 925-596-1133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number23585
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: