Provider Demographics
NPI:1487869079
Name:WEINER, MAIRIN MCCARTHY (MSW)
Entity type:Individual
Prefix:
First Name:MAIRIN
Middle Name:MCCARTHY
Last Name:WEINER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:MAIRIN
Other - Middle Name:ANN
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:676 CHENERY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-3034
Mailing Address - Country:US
Mailing Address - Phone:415-312-5454
Mailing Address - Fax:
Practice Address - Street 1:676 CHENERY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-3034
Practice Address - Country:US
Practice Address - Phone:415-312-5454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA277001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical