Provider Demographics
NPI:1629260278
Name:SHOLINBECK, AMY (LCSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SHOLINBECK
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:ALAMEDA COUNTY PUBLIC HEALTH ASTHMS START
Mailing Address - Street 2:7200 BANCROFT AVE. SUITE 202
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-2416
Mailing Address - Country:US
Mailing Address - Phone:510-383-5178
Mailing Address - Fax:510-383-5183
Practice Address - Street 1:7200 BANCROFT AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2416
Practice Address - Country:US
Practice Address - Phone:510-383-5178
Practice Address - Fax:510-383-5183
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS164341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical