Healthcare Provider Details

I. General information

NPI: 1447426184
Provider Name (Legal Business Name): ELISABETH ANNE DOSA LCSW PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 S BROADWAY
WALNUT CREEK CA
94596-5294
US

IV. Provider business mailing address

710 S BROADWAY
WALNUT CREEK CA
94596-5294
US

V. Phone/Fax

Practice location:
  • Phone: 925-295-4145
  • Fax:
Mailing address:
  • Phone: 925-295-4145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29808
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number36361
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: