Provider Demographics
NPI:1225367469
Name:SHARONE, ZE'EV RON (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ZE'EV
Middle Name:RON
Last Name:SHARONE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4096 PIEDMONT AVE
Mailing Address - Street 2:# 205
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5221
Mailing Address - Country:US
Mailing Address - Phone:510-593-8583
Mailing Address - Fax:
Practice Address - Street 1:2875 GLASCOCK ST
Practice Address - Street 2:# 112
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-2113
Practice Address - Country:US
Practice Address - Phone:510-593-8583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS210491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical