Provider Demographics
NPI:1144698333
Name:SERVERA, LILLIAN INEZ (MSW, ASW)
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:INEZ
Last Name:SERVERA
Suffix:
Gender:F
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 RHODE ISLAND ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-5185
Mailing Address - Country:US
Mailing Address - Phone:818-482-1174
Mailing Address - Fax:
Practice Address - Street 1:383 RHODE ISLAND ST STE 201
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-5185
Practice Address - Country:US
Practice Address - Phone:415-320-6164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-04
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker