Individual provider · Type 1 NPI

Engedaw Berhanu, LCSW

Clinical Social Worker · Oakland, CA

NPI number 1962611053 Active

Practice location

7200 Bancroft Ave, Suite 125C
Oakland, CA 94605

Fax (510) 383-5117

Mailing address

3788 Pintail Drive
Antioch, CA 94509

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 15980 (CA)

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 1962611053

Engedaw Berhanu, LCSW's National Provider Identifier is 1962611053, issued on May 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.