Active NPI
Wing Man Winnie So
- Marriage & Family Therapist
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 132154
- Practice address
- 1520 Stockton St
San Francisco, CA 94133-3354 - Phone
- (415) 391-9686
- NPI assigned
- Jul 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 115113 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 132154 | CA | Primary |
Addresses
Primary practice location
1520 Stockton St
San Francisco, CA 94133-3354
Mailing address
1520 Stockton St
San Francisco, CA 94133-3354
Phone (415) 391-9686
Other practice location 1
3626 Balboa St
San Francisco, CA 94121-2604
Phone (415) 668-5955
Other practice location 2
1038 Post St
San Francisco, CA 94109-5603
Phone (415) 775-2636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132154 | CA | MD | Clinical Social Worker |
| 115113 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients |
Locations
1850 Sullivan Ave
Ste 150
Daly City, CA 94015
Phone (650) 991-5880
211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923
1400 Noriega St
San Francisco, CA 94122
Phone (415) 352-5093
1520 Stockton St
San Francisco, CA 94133
1450 Noriega St
San Francisco, CA 94122
3431 Taraval St
San Francisco, CA 94116
82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688
2574 San Bruno Ave
San Francisco, CA 94134
Phone (415) 352-5090
1033 Clement St
San Francisco, CA 94118
Phone 4153919686 ext. 5572
1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1518911304
-
- Federally Qualified Health Center (FQHC)
- Daly City, CA
- NPI 1104103001
-
- Community/Retail Pharmacy
- San Jose, CA
- NPI 1902616279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1407332299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 STOCKTON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941333354",
"telephone_number": "415-391-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 STOCKTON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941333354",
"telephone_number": "415-391-9686"
}
],
"practiceLocations": [
{
"address_1": "3626 Balboa St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941212604",
"country_code": "US",
"telephone_number": "415-668-5955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1038 Post St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941095603",
"country_code": "US",
"telephone_number": "415-775-2636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SO",
"first_name": "WING MAN WINNIE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-14",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "115113",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "132154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.