NPIMap

Organization Active NPI

Waltz, Licensed Clinical Social Worker, Professional Corporation

Doing business as WALTZ Trauma Care and Therapy

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1780301838
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WALTZ, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORATION
Doing business as
WALTZ Trauma Care and Therapy
Practice address
2211 Post St Ste 300
San Francisco, CA 94115-3442
Phone
(415) 489-0258
Fax
(650) 431-2908
NPI assigned
Oct 20, 2022
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ah Hyun Lee, LCSWNPI 1972989440
Title
President
Phone
(415) 489-0258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2211 Post St Ste 300
San Francisco, CA 94115-3442

Mailing address

2211 Post St #300
Mailbox 11116
San Francisco, CA 94115
Phone (415) 489-0258

Other names 2

  • WALTZ Trauma Care and Therapy Doing business as
  • WALTZ, LCSW, PC Other name

National Provider Directory

National Provider Directory

Locations

3 E 3rd Ave
Ste 200
San Mateo, CA 94401
Phone (415) 489-0693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1780301838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 POST ST #300",
            "address_2": "MAILBOX 11116",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-489-0258",
            "fax_number": "650-431-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 POST ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153442",
            "telephone_number": "415-489-0258",
            "fax_number": "650-431-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTZ, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "AH HYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-489-0258",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALTZ Trauma Care and Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALTZ Trauma Care and Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALTZ, LCSW, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.