Provider Demographics
NPI:1033285366
Name:SIEP, SUSAN KRISTINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:KRISTINE
Last Name:SIEP
Suffix:
Gender:F
Credentials:LCSW
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Other - Credentials:
Mailing Address - Street 1:4141 GEARY BLVD FL 3
Mailing Address - Street 2:KAISER PERMANENTE PSYCHIATRY DEPARTMENT
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3111
Mailing Address - Country:US
Mailing Address - Phone:415-833-2292
Mailing Address - Fax:415-833-4765
Practice Address - Street 1:4141 GEARY BLVD FL 3
Practice Address - Street 2:FRENCH CAMPUS KAISER PSYCHIATRY DEPARTMENT
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3111
Practice Address - Country:US
Practice Address - Phone:415-833-1073
Practice Address - Fax:415-833-4765
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CALCS 187561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical