Provider Demographics
NPI:1356061840
Name:CLAUDEANOS, ELIANA ALVARADO
Entity type:Individual
Prefix:
First Name:ELIANA
Middle Name:ALVARADO
Last Name:CLAUDEANOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3047 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1804
Mailing Address - Country:US
Mailing Address - Phone:510-301-5558
Mailing Address - Fax:
Practice Address - Street 1:1450 FRUITVALE AVE STE E
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-2315
Practice Address - Country:US
Practice Address - Phone:510-535-2954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker