Provider Demographics
NPI:1598075004
Name:JOSEPHS, TANA (LCSW)
Entity type:Individual
Prefix:
First Name:TANA
Middle Name:
Last Name:JOSEPHS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 FLEETWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94803-2011
Mailing Address - Country:US
Mailing Address - Phone:831-224-8262
Mailing Address - Fax:
Practice Address - Street 1:3415 FLEETWOOD DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94803-2011
Practice Address - Country:US
Practice Address - Phone:312-248-2628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1239261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical