Individual provider · Type 1 NPI

Jingyuan Liao

Clinical Social Worker · Oakland, CA

NPI number 1174045017 Active

Practice location

3800 Coolidge Ave
Oakland, CA 94602-3311

Call (510) 482-2244 Map

Mailing address

5728 Yale Ave
Richmond, CA 94805-1525

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X143322 (CA)
Social Worker 104100000X91887 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker 1041C0700X135047 (CA)
Rehabilitation Practitioner 225400000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1174045017

Jingyuan Liao's National Provider Identifier is 1174045017, issued on Jul 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Oct 22, 2026.