Provider Demographics
NPI:1912289703
Name:ADLER, EDNA CATHERINA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EDNA
Middle Name:CATHERINA
Last Name:ADLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:EDINA
Other - Middle Name:
Other - Last Name:ADLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:380 W M ST
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2708
Mailing Address - Country:US
Mailing Address - Phone:510-292-9224
Mailing Address - Fax:
Practice Address - Street 1:533 PETERS AVE STE 205
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6586
Practice Address - Country:US
Practice Address - Phone:925-989-0967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA756021041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical