Provider Demographics
NPI:1902651730
Name:KAREN NAVARRO LICENSED CLINICAL SOCIAL WORKER INC
Entity Type:Organization
Organization Name:KAREN NAVARRO LICENSED CLINICAL SOCIAL WORKER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:415-323-3294
Mailing Address - Street 1:615 DURANT AVE
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-1956
Mailing Address - Country:US
Mailing Address - Phone:415-323-3294
Mailing Address - Fax:
Practice Address - Street 1:2424 DWIGHT WAY STE 3
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2365
Practice Address - Country:US
Practice Address - Phone:415-323-3294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty