Provider Demographics
NPI:1215001086
Name:BISIKIRSKI, SARA A (MSW)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:A
Last Name:BISIKIRSKI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2908
Mailing Address - Country:US
Mailing Address - Phone:415-424-3375
Mailing Address - Fax:
Practice Address - Street 1:1460 PINE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4720
Practice Address - Country:US
Practice Address - Phone:415-202-0580
Practice Address - Fax:415-202-0584
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 158101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical