Audrey Mcdougal
Social Worker, Clinical in San Leandro, California
1811236417- Practice location
- 400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962
- Phone
- 510-352-9200
- Fax
- —
- Last updated
- June 10, 2024
Audrey Mcdougal is a Social Worker, Clinical based in San Leandro, CA. Audrey Mcdougal practices in San Leandro, CA. The NPI Number for Audrey Mcdougal is 1811236417 and holds a License No. ASW87597 (CA). The current practice location address for Audrey Mcdougal is 400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962 and can be reached out via phone at 510-352-9200.
Provider Profile Details
- NPI Number
- 1811236417
- Provider Name
- Audrey Mcdougal
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962
- Phone Number
- 510-352-9200
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 4, 2013
- Last Update Date
- June 10, 2024
- Certification Date
- June 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Estudillo Ave Ste 100
San Leandro, CA 94577-4962 - City
- San Leandro
- State
- California
- Zip
- 94577-4962
- Phone Number
- 510-352-9200
Provider Business Mailing Address Details
- Address
- 400 Estudillo Ave Ste 100
San Leandro, CA 94577-4962 - City
- San Leandro
- State
- CA
- Zip
- 94577-4962
- Phone Number
- 510-352-9200
License Information
- License Number (1)
- ASW87597
- License State (1)
- CA
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- LCSW106518
- License State (2)
- CA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near San Leandro, CA
View all Social Worker, Clinical providers in San Leandro →Frequently Asked Questions
What is the NPI number of Audrey Mcdougal?
The NPI number of Audrey Mcdougal is 1811236417. It was assigned on February 4, 2013 and is currently active in the NPPES registry.
What is the specialty of Audrey Mcdougal?
Audrey Mcdougal is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CA under license number ASW87597.
Where does Audrey Mcdougal practice?
The practice location is 400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962. The office can be reached at 510-352-9200 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811236417 directly on the NPPES registry website.