Provider Demographics
NPI:1023171097
Name:SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH
Entity type:Organization
Organization Name:SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ZHOU
Authorized Official - Suffix:
Authorized Official - Credentials:ASW
Authorized Official - Phone:415-970-3888
Mailing Address - Street 1:3801 3RD ST
Mailing Address - Street 2:400
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-1409
Mailing Address - Country:US
Mailing Address - Phone:415-970-3888
Mailing Address - Fax:
Practice Address - Street 1:3801 3RD ST
Practice Address - Street 2:400
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-1409
Practice Address - Country:US
Practice Address - Phone:415-970-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW194691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty