Provider Demographics
NPI:1356079495
Name:NELSON, CLAUDIA LORRAINE (ACSW)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:LORRAINE
Last Name:NELSON
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5715
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-0715
Mailing Address - Country:US
Mailing Address - Phone:510-833-0789
Mailing Address - Fax:
Practice Address - Street 1:11 EMBARCADERO W STE 136
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4500
Practice Address - Country:US
Practice Address - Phone:510-467-4250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1004271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical