Anna Kathleen Livak Hale | San Leandro, CA • PECOS Search

Anna Kathleen Livak Hale

Social Worker

Behavioral Health & Social Service Providers

489 Dolores Ave, San Leandro, CA 94577-5009

PECOS Enrollment

Based on the most recent information from CMS, provider Anna Kathleen Livak Hale does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1366931503
Provider Type
Individual
Full Name
Livak Hale, Anna Kathleen
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/3/2018
Last Updated
5/3/2018

Contact Information

Practice Location

489 Dolores Ave, San Leandro, CA 94577-5009

Unlisted Fax

Mailing Location

489 Dolores Ave, San Leandro, CA 94577-5009

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 70992 California