Provider Demographics
NPI:1336347459
Name:GRUNSTEIN, SARA (LCSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:GRUNSTEIN
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 1:2887 COLLEGE AVE
Mailing Address - Street 2:SUITE 1/360
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2154
Mailing Address - Country:US
Mailing Address - Phone:510-548-0161
Mailing Address - Fax:
Practice Address - Street 1:2887 COLLEGE AVE
Practice Address - Street 2:SUITE 1/360
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2154
Practice Address - Country:US
Practice Address - Phone:510-548-0161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 162291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical