Provider Demographics
NPI:1295876886
Name:LUFT, SHIRA L (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHIRA
Middle Name:L
Last Name:LUFT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHIRA
Other - Middle Name:L
Other - Last Name:GALLAGHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3824 GRAND AVE.
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610
Mailing Address - Country:US
Mailing Address - Phone:510-847-7005
Mailing Address - Fax:510-727-9405
Practice Address - Street 1:3824 GRAND AVE.
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610
Practice Address - Country:US
Practice Address - Phone:510-594-4008
Practice Address - Fax:510-727-9405
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 238641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical