Elissa Gail Klein, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20132 Issued in CA

Practice address

870 Market St Ste 1277
San Francisco, CA 94102-2918

Phone

(415) 397-6622

Fax

(415) 397-6666

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 19, 2024 through Sep 19, 2026

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Forensic Psychology Associates

  dba Sharper Future

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1518146695
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1881889996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 1277",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022918",
            "telephone_number": "415-397-6622",
            "fax_number": "415-397-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 1277",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022918",
            "telephone_number": "415-397-6622",
            "fax_number": "415-397-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ELISSA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Kenneth Kleen
• Sean Kleiman
• Alicia Dawn Klein, FNP-C
• Caitlyn Klein, PHARMD
• Edwin Joseph Klein
• Emily Klein, L.AC.
• Ingo Klein, M.D.
• James C Klein, MD
• Jana Klein, MS
• Jarrett Klein

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.