Basic Information
| Provider Information | |||||||||
| NPI: | 1003002668 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROCHELLE-ARTMANN | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | L.C.S.W. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | ROCHELLE-WILLIAMS | ||||||||
| OtherFirstName: | DEBORAH | ||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 433 PERKINS ST. | ||||||||
| Address2: | #301 | ||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5104208083 | ||||||||
| FaxNumber: | 8085438487 | ||||||||
| Practice Location | |||||||||
| Address1: | 3021TELEGRAPH AVE | ||||||||
| Address2: | SUITE B | ||||||||
| City: | BERKLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5104208083 | ||||||||
| FaxNumber: | 8085438487 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/18/2007 | ||||||||
| LastUpdateDate: | 10/28/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 3417 | HI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.