Individual provider Active NPI

Miho Schutzenhofer, MSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1962727172
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW63316 Issued in CA
Practice address
675 18TH Street
San Francisco, CA 94143
Phone
(415) 476-7771
Fax
(415) 476-7310
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X LCSW63316 CA Primary

Addresses

Primary practice location

675 18TH Street
San Francisco, CA 94143

Mailing address

675 18TH Street
San Francisco, CA 94143
Phone (415) 476-7771

Other names 1

  • Miho Tange Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210220000122 CA Practitioner - Clinical Social Worker 1951716117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW63316CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
UCSF Psychiatry Clinical CurrentSince Dec 10, 2020 Accepting new patients
University of California San Francisco CurrentSince Sep 9, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 9, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 9, 2023 Accepting new patients
University of California San Francisco CurrentSince Sep 9, 2023 Accepting new patients
Progress Foundation Past Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

401 Parnassus Ave
Ste 984AAR
San Francisco, CA 94143

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1962727172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 18TH STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-7771",
            "fax_number": "415-476-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 18TH STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-7771",
            "fax_number": "415-476-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTZENHOFER",
        "first_name": "MIHO",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW63316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIHO",
            "last_name": "TANGE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.