Provider Demographics
NPI:1457445504
Name:KAMINS, MAURICE L JR (LCSW)
Entity Type:Individual
Prefix:
First Name:MAURICE
Middle Name:L
Last Name:KAMINS
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3352B SACRAMENTO ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1912
Mailing Address - Country:US
Mailing Address - Phone:415-922-1155
Mailing Address - Fax:415-922-1160
Practice Address - Street 1:3352B SACRAMENTO ST STE 300
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1912
Practice Address - Country:US
Practice Address - Phone:415-922-1155
Practice Address - Fax:415-922-1160
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS51221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical