MEDICARE: RIVA GRACE SZOSTKOWSKI

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1346190642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIVA GRACE SZOSTKOWSKI

Provider Business Mailing Address
First Line	:	1132 UNIVERSITY AVE APT 116
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94702-1696
Country	:	US
Telephone Number	:	510-241-2422
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 OAKLAND AVE STE 203
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-5429
Country	:	US
Telephone Number	:	510-241-2422
Fax Number	:

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

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ RIVA GRACE SZOSTKOWSKI ” Practice Location

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