MEDICARE: JEAN-KATHARINA MARIA LESS LCSW

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	LCS16943	CA

General Provider Information

NPI Number	:	1487844049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN-KATHARINA MARIA LESS LCSW

Provider Business Mailing Address
First Line	:	1202 HAMPEL ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-1112
Country	:	US
Telephone Number	:	510-815-6956
Fax Number	:	510-848-4445

Provider Business Practice Location Address
First Line	:	3075 ADELINE ST STE 120
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94703-2579
Country	:	US
Telephone Number	:	510-848-1112
Fax Number	:	510-848-4445

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

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	03/18/2026

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