Provider Demographics
NPI:1861557076
Name:LEGORBURU, NOEL (LCSW MFT)
Entity type:Individual
Prefix:MR
First Name:NOEL
Middle Name:
Last Name:LEGORBURU
Suffix:
Gender:M
Credentials:LCSW MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BUCHANAN ST UNIT 703
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-6297
Mailing Address - Country:US
Mailing Address - Phone:415-987-3953
Mailing Address - Fax:
Practice Address - Street 1:8 BUCHANAN ST UNIT 703
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-6297
Practice Address - Country:US
Practice Address - Phone:415-987-3953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS229181041C0700X
CA34234106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist