Provider Demographics
NPI:1164580924
Name:WALIN, MEREDITH HARVEY (ASW)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:HARVEY
Last Name:WALIN
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 RED OAK AVE
Mailing Address - Street 2:APT. 101
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706
Mailing Address - Country:US
Mailing Address - Phone:254-548-5050
Mailing Address - Fax:
Practice Address - Street 1:1320 ARNOLD DR
Practice Address - Street 2:SUITE 160
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-6537
Practice Address - Country:US
Practice Address - Phone:925-580-8157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20827104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker