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NPI Code Detail

MEDICARE: EDEN ZAFRA LCSW

MEDICARE: EDEN ZAFRA 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 Worker133119CA

General Provider Information

NPI Number : 1942960463
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDEN ZAFRA LCSW
Provider Business Mailing Address
First Line : PO BOX 31
Second Line :
City : KNIGHTSEN
State : CA
Zip : 94548-0031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2441 CONSTITUTION DR
Second Line :
City : LIVERMORE
State : CA
Zip : 94551-7573
Country : US
Telephone Number : 925-505-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2021
Last Update Date : 05/11/2026

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Directions to “ EDEN ZAFRA LCSW” Practice Location

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