Provider Demographics
NPI:1598813032
Name:AMARAL, WILLIAM PETER (LCSW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PETER
Last Name:AMARAL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:AMARAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:379 CHURCH ST
Mailing Address - Street 2:UNIT 401
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-4015
Mailing Address - Country:US
Mailing Address - Phone:415-724-0866
Mailing Address - Fax:
Practice Address - Street 1:3884 24TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-3839
Practice Address - Country:US
Practice Address - Phone:415-724-0866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 22812171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ032082Medicare ID - Type Unspecified