Provider Demographics
NPI:1932246535
Name:CAPLAN, JILL HEARNE (MSW)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:HEARNE
Last Name:CAPLAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:HEARNE
Other - Last Name:SUNDSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 HARRISON ST, 7TH FL
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3429
Mailing Address - Country:US
Mailing Address - Phone:510-625-2856
Mailing Address - Fax:877-738-4262
Practice Address - Street 1:1800 HARRISON ST, 7TH FL
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3429
Practice Address - Country:US
Practice Address - Phone:510-625-2856
Practice Address - Fax:877-738-4262
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 156991041C0700X
CA240531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical