Healthcare Provider Details

I. General information

NPI: 1881269413
Provider Name (Legal Business Name): SARA APPELBAUM MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 CITRUS CIR STE 165
WALNUT CREEK CA
94598-2669
US

IV. Provider business mailing address

2425 CHANNING WAY SUITE B, PMB 321
BERKELEY CA
94704
US

V. Phone/Fax

Practice location:
  • Phone: 925-269-4468
  • Fax:
Mailing address:
  • Phone: 510-292-6858
  • 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: