=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245839471
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH DELMONTE ASW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2020
-----------------------------------------------------
Last Update Date | 10/17/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24301 SOUTHLAND DR STE 300
-----------------------------------------------------
City | HAYWARD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94545-1546
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-935-2081
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3750 PARK BOULEVARD WAY APT 1
-----------------------------------------------------
City | OAKLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94610-2857
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-482-7439
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 98849
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------