Provider Demographics
NPI:1861601056
Name:ABRAMSON, JONATHAN CLARK (LCSW)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:CLARK
Last Name:ABRAMSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 HOPYARD RD
Mailing Address - Street 2:SU.103
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8562
Mailing Address - Country:US
Mailing Address - Phone:925-462-3010
Mailing Address - Fax:925-417-0947
Practice Address - Street 1:3730 HOPYARD RD
Practice Address - Street 2:SU.103
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8562
Practice Address - Country:US
Practice Address - Phone:925-462-3010
Practice Address - Fax:925-417-0947
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS146081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical