Provider Demographics
NPI:1508118084
Name:OH, ELEANOR (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:
Last Name:OH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 POST ST
Mailing Address - Street 2:#302
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5661
Mailing Address - Country:US
Mailing Address - Phone:917-776-2682
Mailing Address - Fax:
Practice Address - Street 1:1020 POST ST
Practice Address - Street 2:#302
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5661
Practice Address - Country:US
Practice Address - Phone:917-776-2682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068698104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker