Provider Demographics
NPI:1023394194
Name:NIGUSSE BLAND, ALMAZ (LCSW)
Entity Type:Individual
Prefix:
First Name:ALMAZ
Middle Name:
Last Name:NIGUSSE BLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 SUMMIT ST STE 2D
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3416
Mailing Address - Country:US
Mailing Address - Phone:415-349-6795
Mailing Address - Fax:
Practice Address - Street 1:1663 MISSION ST STE 460
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2486
Practice Address - Country:US
Practice Address - Phone:415-715-1050
Practice Address - Fax:415-715-1051
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30717104100000X
CA99177101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker