Provider Demographics
NPI:1659504157
Name:NZEUSSEU, ADELAIDE FANDIO (MSW, PPSC, ACSW)
Entity Type:Individual
Prefix:MRS
First Name:ADELAIDE
Middle Name:FANDIO
Last Name:NZEUSSEU
Suffix:
Gender:F
Credentials:MSW, PPSC, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 SALVIO ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-2599
Mailing Address - Country:US
Mailing Address - Phone:925-687-0374
Mailing Address - Fax:925-609-7617
Practice Address - Street 1:1026 OAK GROVE RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-3289
Practice Address - Country:US
Practice Address - Phone:925-682-8000
Practice Address - Fax:925-609-7617
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical