Provider Demographics
NPI:1386188456
Name:SCHLOTTMAN, PRISCILLA LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:LYNN
Last Name:SCHLOTTMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PRISCILLA
Other - Middle Name:LYNN
Other - Last Name:KRUPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:650 5TH ST
Mailing Address - Street 2:309
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1536
Mailing Address - Country:US
Mailing Address - Phone:415-722-3445
Mailing Address - Fax:
Practice Address - Street 1:650 5TH ST
Practice Address - Street 2:309
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1536
Practice Address - Country:US
Practice Address - Phone:650-266-7581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-08
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA243421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical