Provider Demographics
NPI:1982108890
Name:NEYRA TERCERO, ROSARIO BEATRIZ (LCSW, PPSC)
Entity type:Individual
Prefix:MS
First Name:ROSARIO
Middle Name:BEATRIZ
Last Name:NEYRA TERCERO
Suffix:
Gender:F
Credentials:LCSW, PPSC
Other - Prefix:
Other - First Name:ROSARIO
Other - Middle Name:BEATRIZ
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2315 GIBBONS ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4469
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 7199
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-0199
Practice Address - Country:US
Practice Address - Phone:510-597-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CA1149241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker