Provider Demographics
NPI:1326194697
Name:ADAMICH, BARBARA T (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:T
Last Name:ADAMICH
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 1:3628 SACRAMENTO ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1729
Mailing Address - Country:US
Mailing Address - Phone:415-673-3566
Mailing Address - Fax:415-492-9492
Practice Address - Street 1:3628 SACRAMENTO ST
Practice Address - Street 2:SUITE 5
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1729
Practice Address - Country:US
Practice Address - Phone:415-673-3566
Practice Address - Fax:415-492-9492
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS158161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical