Basic Information
Provider Information
NPI: 1366643280
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NARVAEZ
FirstName: CHERYL
MiddleName: P.
NamePrefix: MS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PASCHAL
OtherFirstName: CHERYL
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: ASW
OtherLastNameType: 1
Mailing Information
Address1: 2000 EMBARCADERO COVE
Address2: STE 400- QUALITY ASSURANCE
City: OAKLAND
State: CA
PostalCode: 94606
CountryCode: US
TelephoneNumber: 5105678100
FaxNumber: 5108932074
Practice Location
Address1: 1727 MARTIN LUTHER KING JR WAY
Address2: SUITE 109
City: OAKLAND
State: CA
PostalCode: 946121358
CountryCode: US
TelephoneNumber: 5108939230
FaxNumber: 5108932074
Other Information
ProviderEnumerationDate: 05/29/2007
LastUpdateDate: 03/29/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XASW 20072CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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