Provider Demographics
NPI:1093834681
Name:BOK, ALBERT ALLAN (ASW)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:ALLAN
Last Name:BOK
Suffix:
Gender:M
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 STEVENSON ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-0901
Mailing Address - Country:US
Mailing Address - Phone:415-355-3680
Mailing Address - Fax:
Practice Address - Street 1:875 STEVENSON ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-0901
Practice Address - Country:US
Practice Address - Phone:415-355-3680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 12393101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
492OtherCBHS INTERNAL USE ONLY-COMMERCIAL NUMBER
492OtherSFGH INTERNAL USE ONLY