Provider Demographics
NPI:1295860476
Name:CHAN-SCHERER, ELAINE L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:L
Last Name:CHAN-SCHERER
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 1:4614 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1225
Mailing Address - Country:US
Mailing Address - Phone:415-752-1702
Mailing Address - Fax:415-751-1545
Practice Address - Street 1:4614 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1225
Practice Address - Country:US
Practice Address - Phone:415-752-1702
Practice Address - Fax:415-751-1545
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 142461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ23204ZMedicare ID - Type Unspecified