Provider Demographics
NPI:1326297466
Name:PROPERSI, TARYN LIVINGSTON (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TARYN
Middle Name:LIVINGSTON
Last Name:PROPERSI
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:PO BOX 2842
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-0842
Mailing Address - Country:US
Mailing Address - Phone:310-980-5972
Mailing Address - Fax:
Practice Address - Street 1:1242 PARK ST
Practice Address - Street 2:SUITE C
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5500
Practice Address - Country:US
Practice Address - Phone:510-521-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 28823104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker