Provider Demographics
NPI:1801330212
Name:STRENGTH TO GROW A LICENSED CLINICAL SOCIAL WORKER CORPORTATION
Entity type:Organization
Organization Name:STRENGTH TO GROW A LICENSED CLINICAL SOCIAL WORKER CORPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERYN
Authorized Official - Middle Name:
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:510-435-0324
Mailing Address - Street 1:2880 SACRAMENTO ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-2533
Mailing Address - Country:US
Mailing Address - Phone:510-585-3709
Mailing Address - Fax:510-298-5599
Practice Address - Street 1:2880 SACRAMENTO ST
Practice Address - Street 2:SUITE A
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94702-2533
Practice Address - Country:US
Practice Address - Phone:510-585-3709
Practice Address - Fax:510-298-5599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA698901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty