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NPI Code Detail

MEDICARE: TANA JOSEPHS LCSW

MEDICARE:   TANA  JOSEPHS  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
11041C0700XClinical Social Worker123926CA

General Provider Information

NPI Number : 1598075004
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANA JOSEPHS LCSW
Provider Business Mailing Address
First Line : 3415 FLEETWOOD DR
Second Line :
City : RICHMOND
State : CA
Zip : 94803-2011
Country : US
Telephone Number : 831-224-8262
Fax Number :
Provider Business Practice Location Address
First Line : 3415 FLEETWOOD DR
Second Line :
City : RICHMOND
State : CA
Zip : 94803-2011
Country : US
Telephone Number : 312-248-2628
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2010
Last Update Date : 02/13/2025

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Directions to “ TANA JOSEPHS LCSW” Practice Location

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