Provider Demographics
NPI:1093359622
Name:DIDOMIZIO, FUMIKO INOUE (LCSW)
Entity Type:Individual
Prefix:
First Name:FUMIKO
Middle Name:INOUE
Last Name:DIDOMIZIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 7TH ST UNIT 51
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1585
Mailing Address - Country:US
Mailing Address - Phone:415-871-3251
Mailing Address - Fax:
Practice Address - Street 1:888 7TH ST UNIT 51
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1585
Practice Address - Country:US
Practice Address - Phone:415-871-3251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1158461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical