Provider Demographics
NPI:1558597484
Name:DANG, KHOI DINH (LCSW)
Entity Type:Individual
Prefix:MR
First Name:KHOI
Middle Name:DINH
Last Name:DANG
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 1:1380 HOWARD ST FL 4
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2651
Mailing Address - Country:US
Mailing Address - Phone:628-271-6788
Mailing Address - Fax:415-252-3001
Practice Address - Street 1:1380 HOWARD ST FL 4
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2651
Practice Address - Country:US
Practice Address - Phone:628-271-6788
Practice Address - Fax:415-252-3001
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA751581041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical