Susan Chen

Individual provider Active NPI Clinical Social Worker · SF, CA

NPI 1588809081 · NPPES record last updated Dec 11, 2008

Key facts

NPI
1588809081
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
MFC43955 (CA)
Practice address
982 Mission Street
SF, CA 94103
Phone
(415) 597-8111
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC43955CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MFC43955 CA Yes

Addresses

Primary practice location

982 Mission Street
SF, CA 94103

Mailing address

982 Mission Street
SF, CA 94103
Phone (415) 597-8111

Other providers in SF, CA

All providers in SF, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.