Provider Demographics
NPI:1013389915
Name:GUBSER, MARSHA L (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:L
Last Name:GUBSER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:L
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1766 CASA GRANDE ST
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2336
Mailing Address - Country:US
Mailing Address - Phone:707-297-6210
Mailing Address - Fax:
Practice Address - Street 1:3451 E 12TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-3463
Practice Address - Country:US
Practice Address - Phone:925-363-2005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 764451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical