Provider Demographics
NPI:1053679340
Name:OKAMURA, MARIAN TOYOKO (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIAN
Middle Name:TOYOKO
Last Name:OKAMURA
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 1:120 MIDHILL RD
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4202
Mailing Address - Country:US
Mailing Address - Phone:925-890-6060
Mailing Address - Fax:925-335-9078
Practice Address - Street 1:6097 CLAREMONT AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1222
Practice Address - Country:US
Practice Address - Phone:925-890-6060
Practice Address - Fax:925-335-9078
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS108451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical