Provider Demographics
NPI:1366794521
Name:OAKLAND UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:OAKLAND UNIFIED SCHOOL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:SARAH HIGGINS
Authorized Official - Last Name:REIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PPSC
Authorized Official - Phone:510-874-3710
Mailing Address - Street 1:2850 WEST ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94608-4536
Mailing Address - Country:US
Mailing Address - Phone:510-874-3710
Mailing Address - Fax:510-874-3707
Practice Address - Street 1:2369 84TH AVENUE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-3550
Practice Address - Country:US
Practice Address - Phone:510-879-0131
Practice Address - Fax:510-879-0133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 21739251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)