Li Tak Agnes Tung, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS16142 Issued in CA

Practice address

4527 Mission St
San Francisco, CA 94112-2603

Phone

(415) 337-4774

Fax

(415) 333-2058

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Li Tal Agnes Louie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1942492913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122603",
            "telephone_number": "415-337-4774",
            "fax_number": "415-333-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122603",
            "telephone_number": "415-337-4774",
            "fax_number": "415-333-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "LI TAK",
        "middle_name": "AGNES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LI TAL",
            "last_name": "LOUIE",
            "middle_name": "AGNES",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Swetha Tummala, MD
• Annick Tumolo, CCC-SLP
• Sudhakar Tumuluri, M.D.
• Yin Tun, PHARM.D.
• Brett Tung
• Stephanie Tung, MA, CCC-SLP
• Charlene Diana Tungol, LVN
• Emily Tunnat, OTR/L
• Mary Claire Tuohy, MD/PHD
• Tuong DO Pham MD Inc

• 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 Aug 14, 2007; 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.