Provider Demographics
NPI:1508901315
Name:ESCOBAR, BRENDA MARIE (MSW)
Entity Type:Individual
Prefix:MISS
First Name:BRENDA
Middle Name:MARIE
Last Name:ESCOBAR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:BRENDA
Other - Middle Name:MARIE
Other - Last Name:ESCOBAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:943 MADRID ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-3838
Mailing Address - Country:US
Mailing Address - Phone:415-756-8081
Mailing Address - Fax:
Practice Address - Street 1:205 13TH ST
Practice Address - Street 2:FAMILY SUPPORT SERVIES OF THE BAY AREA SUITE, 3150
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103
Practice Address - Country:US
Practice Address - Phone:415-861-4060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker