Provider Demographics
NPI:1558450866
Name:TIGHE, JOHN C (LCSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:TIGHE
Suffix:
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:UCSF STUDENT HEALTH AND COUNSELING SERVICES
Mailing Address - Street 2:500 PARNASSUS AVE., LEVEL P8, RM. 005
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0722
Mailing Address - Country:US
Mailing Address - Phone:415-864-8451
Mailing Address - Fax:
Practice Address - Street 1:500 PARNASSUS AVE
Practice Address - Street 2:LEVEL P8, RM 005
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0722
Practice Address - Country:US
Practice Address - Phone:415-502-2516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW 211041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical