Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Norbert Clancy Jr.

Individual provider Counselor · NPI 1053854802

Timothy Norbert Clancy Jr. is a Counselor in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

3301 E 12th St Ste 259
Oakland, CA 94601-2940
Phone: (510) 269-9030
Fax: (510) 269-9031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 123295 (CA)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1053854802
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 28, 2016
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

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