Provider Demographics
NPI:1003977406
Name:CABEZAS, ANIBAL (MSW)
Entity Type:Individual
Prefix:
First Name:ANIBAL
Middle Name:
Last Name:CABEZAS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-4710
Mailing Address - Country:US
Mailing Address - Phone:415-814-3307
Mailing Address - Fax:415-750-1544
Practice Address - Street 1:6221 GEARY BLVD FL 3
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1821
Practice Address - Country:US
Practice Address - Phone:415-370-1046
Practice Address - Fax:415-750-1544
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health