TIMOTHY NORBERT CLANCY JR.
NPI 1053854802
Social Worker - Clinical in Oakland, CA

Active since November 28, 2016
3301 E 12TH ST STE 259, OAKLAND, CA 94601(510) 269-9030(510) 269-9031 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2024, Aug 27, 2021, Jul 15, 2020 (3 updates tracked since 2020).

About Timothy Norbert Clancy Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY NORBERT CLANCY JR. (NPI 1053854802) is an individual clinical provider in Oakland, California, licensed in California (123295) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1053854802
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTIMOTHY NORBERT CLANCY JR.
Location Address3301 E 12TH ST STE 259Oakland, CA 94601-2940
Mailing Address3850 Crenshaw BlvdLos Angeles, CA 90008-1821 · (323) 593-5300
Fax(510) 269-9031
Sole ProprietorYes
Enumeration DateNovember 28, 2016
Last NPPES UpdateJuly 16, 20243 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
NPI 1053854802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 123295
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
3301 E 12TH ST STE 259, Oakland, CA 94601

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Psychologist
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Student in an Organized Health Care Education/Training Program
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Community Health Worker
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Marriage & Family Therapist
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Social Worker
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Social Worker
3301 E 12TH ST STE 259
OAKLAND, CA 94601
Specialist
3301 E 12TH ST STE 259
OAKLAND, CA 94601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Clancy's NPI number?

The NPI number for Timothy Clancy is 1053854802. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Timothy Clancy located?

Timothy Clancy practices at 3301 E 12th St Ste 259, Oakland, CA 94601. The listed phone number is (510) 269-9030.

What is Timothy Clancy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Timothy Clancy was last updated on July 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.