Individual
ALLISON STAULCUP BECWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1266 14TH ST, OAKLAND, CA 94607
(510) 273-4700
Mailing address
1266 14TH ST, OAKLAND, CA 94607-2205
(510) 273-4700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ASW 12646
CA
1041C0700X
Clinical Social Worker
Primary
LCSW24309
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3924
MEDI-CAL ALAMEDA CO
CA
01
—
4596
MEDI-CAL-CONTRA COSTA CO
CA
Enumeration date
01/11/2007
Last updated
07/16/2018
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