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General NPI Number Information
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NPI Number | 1881431393
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Entity Type | Organization
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Legal Business Name | LYNNEA MOLINA LICENSED CLINICAL SOCIAL WORKER PC
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Dates
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Enumeration Date | 07/11/2024
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 4032 ALTAMONT AVE
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City | OAKLAND
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State | CA
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Zip | 94605-2604
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Country | US
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Telephone | 518-588-0207
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Fax |
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Provider Business Mailing Address
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Address Line | 3316 LAGUNA WAY STE B
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City | OAKLAND
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State | CA
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Zip | 94602-2818
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Country | US
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Telephone | 510-556-1797
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LYNNEA G MOLINA
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Credential | LCSW
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Telephone | 518-588-0207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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