Provider Demographics
NPI:1457417511
Name:TOLES, ALFRED ERNEST JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALFRED
Middle Name:ERNEST
Last Name:TOLES
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6875 SHERWICK DR
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1744
Mailing Address - Country:US
Mailing Address - Phone:510-845-6302
Mailing Address - Fax:
Practice Address - Street 1:6875 SHERWICK DR
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1744
Practice Address - Country:US
Practice Address - Phone:510-845-6302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW45901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical