Pablo Andres Baeza Breinbauer
Pablo Andres Baeza Breinbauer is a Clinical Social Worker in Oakland, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in California.
- Years since qualifying
- 6
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
1501 Fruitvale Ave Apt 2Oakland, CA 94601-2322
Phone: (510) 535-6200
Fax: (510) 535-4167
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 100154 (CA) |
|---|
Record details
| NPI number | 1811553274 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2019 |
| Last updated in NPPES | November 13, 2024 |
| Certification date | November 13, 2024 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
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