Provider Demographics
NPI:1902970486
Name:SPRINSON, LAURA H (MSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:H
Last Name:SPRINSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 GRANDE VISTA PL
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-1351
Mailing Address - Country:US
Mailing Address - Phone:510-434-7990
Mailing Address - Fax:510-434-7991
Practice Address - Street 1:2370 GRANDE VISTA PL
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-1351
Practice Address - Country:US
Practice Address - Phone:510-434-7990
Practice Address - Fax:510-434-7991
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical