MEDICARE: REBECCA STEIN

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	113503	CA

General Provider Information

NPI Number	:	1922698422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA STEIN

Provider Business Mailing Address
First Line	:	1122 UNIVERSITY AVE APT 506
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94702-1693
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2111 SAN PABLO AVE UNIT 2435
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94702-5025
Country	:	US
Telephone Number	:	424-235-0336
Fax Number	:

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

Provider Enumeration Date	:	01/19/2021
Last Update Date	:	03/09/2024

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Directions to “ REBECCA STEIN ” Practice Location

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