Provider Demographics
NPI:1922839836
Name:ALALIN MEHARI, LEKENESH (MASTER SOCIAL WORK)
Entity type:Individual
Prefix:MS
First Name:LEKENESH
Middle Name:
Last Name:ALALIN MEHARI
Suffix:
Gender:F
Credentials:MASTER SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4503 EL DORADO CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4636
Mailing Address - Country:US
Mailing Address - Phone:805-455-5651
Mailing Address - Fax:
Practice Address - Street 1:200 CHANNING AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2720
Practice Address - Country:US
Practice Address - Phone:650-688-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1207881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical