Provider Demographics
NPI:1568716447
Name:CHAMBERS, DEAN CARRINGTON (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DEAN
Middle Name:CARRINGTON
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:DEAN
Other - Middle Name:CARRINGTON
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:820 PERALTA STREET
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-1925
Mailing Address - Country:US
Mailing Address - Phone:510-567-8109
Mailing Address - Fax:510-567-8130
Practice Address - Street 1:820 PERALTA ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-1925
Practice Address - Country:US
Practice Address - Phone:510-567-8109
Practice Address - Fax:510-567-8130
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS203941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical