Individual
MS. INGER MARIE ACKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1305 FRANKLIN STREET, SUITE 506, OAKLAND, CA 94612-3213
(510) 528-9865
(510) 238-9212
Mailing address
1305 FRANKLIN STREET, SUITE 506, OAKLAND, CA 94612-3213
(510) 528-9865
(510) 238-9212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS12559
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049683
MANAGED HEALTH
CA
01
—
5641154
FIRST HEALTH NETWORK
CA
01
—
817179000
MAGELLAN
CA
01
—
CSW12259O
MEDICAL
CA
Enumeration date
08/01/2006
Last updated
11/14/2012
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