Provider Demographics
NPI:1174532352
Name:SCURRIA, JEAN MARIE (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:MARIE
Last Name:SCURRIA
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:855 MAIN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6668
Mailing Address - Country:US
Mailing Address - Phone:925-846-1229
Mailing Address - Fax:925-846-7575
Practice Address - Street 1:855 MAIN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6668
Practice Address - Country:US
Practice Address - Phone:925-846-1229
Practice Address - Fax:925-846-7575
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 141001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical