Provider Demographics
NPI:1639451834
Name:TRAN, THUY THI (ASW)
Entity Type:Individual
Prefix:MRS
First Name:THUY
Middle Name:THI
Last Name:TRAN
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 1:36461 CYPRESS POINT DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-2123
Mailing Address - Country:US
Mailing Address - Phone:510-207-5567
Mailing Address - Fax:
Practice Address - Street 1:600 GRAND AVE STE 306
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-3548
Practice Address - Country:US
Practice Address - Phone:510-287-8489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA765671041C0700X
CAASW # 34238101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical