Provider Demographics
NPI:1154651156
Name:FISHER, SUNSHINE WU (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SUNSHINE
Middle Name:WU
Last Name:FISHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SUNSHINE
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:74 CRESTLINE DR
Mailing Address - Street 2:APT 9
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-3421
Mailing Address - Country:US
Mailing Address - Phone:415-269-3286
Mailing Address - Fax:
Practice Address - Street 1:2001 WINWARD WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94404-2469
Practice Address - Country:US
Practice Address - Phone:650-931-1832
Practice Address - Fax:650-931-1897
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA262281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical