MEDICARE: NICOLE BERROW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ASW132708	CA

General Provider Information

NPI Number	:	1053279901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE BERROW

Provider Business Mailing Address
First Line	:	PO BOX 467
Second Line	:
City	:	UNION CITY
State	:	CA
Zip	:	94587-0467
Country	:	US
Telephone Number	:	510-209-2219
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 GRAND AVE STE 203
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94610-3554
Country	:	US
Telephone Number	:	844-638-6968
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

Similar Medicare Providers

1649480567 — EMYLENA GALAEN SQUIRES
Practice Location Address:

614 GRAND AVE
OAKLAND, CA
94610-3554

Practice Phone: 510-286-8100
Practice Fax: 510-286-8104

1770738122 — CLAUDIUS JOHNSON LCSW
Practice Location Address:

614 GRAND AVE , STE 203
OAKLAND, CA
94610-3554

Practice Phone: 510-433-0244
Practice Fax: 510-380-6525

1609152891 — PREMA ARHIN L.AC.
Practice Location Address:

614 GRAND AVE , SUITE # B AND C
OAKLAND, CA
94610-3554

Practice Phone: 510-286-8100
Practice Fax:

1740602549 — SANKOFA HOLISTIC COUNSELING SERVICES, A PROFESSIONAL CLINICAL SOCIAL W
Practice Location Address:

614 GRAND AVE , SUITE 203
OAKLAND, CA
94610-3554

Practice Phone: 510-433-0244
Practice Fax:

1093113581 — CRYSTAL CROWLEY LMFT
Practice Location Address:

614 GRAND AVE STE 203
OAKLAND, CA
94610-3554

Practice Phone: 510-972-8316
Practice Fax:

1255791067 — LAI CHIEN LMFT, #143222
Practice Location Address:

614 GRAND AVE
OAKLAND, CA
94610-3554

Practice Phone: 510-775-1339
Practice Fax:

Directions to “ NICOLE BERROW ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.