Individual
MS. CLAIRE SIVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
236 GEORGIA ST, SUITE 200 B, VALLEJO, CA 94590-5962
(707) 558-6730
Mailing address
236 GEORGIA ST STE 200B, VALLEJO, CA 94590-5962
(707) 558-6730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS18079
CA
1041C0700X
Clinical Social Worker
18079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11707262
CAQH PROVIDER ID
CA
01
—
295224
MHN
CA
Enumeration date
05/21/2007
Last updated
07/13/2023
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