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NPI Code Detail

MEDICARE: BRITTANY VICKERS

MEDICARE: BRITTANY VICKERS
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 Worker101768CA

General Provider Information

NPI Number : 1902354947
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY VICKERS
Provider Business Mailing Address
First Line : 747 52ND ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1809
Country : US
Telephone Number : 510-482-2244
Fax Number :
Provider Business Practice Location Address
First Line : 770 53RD ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1814
Country : US
Telephone Number : 510-428-3441
Fax Number : 510-601-3912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2016
Last Update Date : 03/11/2026

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Directions to “ BRITTANY VICKERS ” Practice Location

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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.

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