Provider Demographics
NPI:1619366598
Name:RON, NAKARI MERCEDES (MSW/ASW)
Entity Type:Individual
Prefix:MS
First Name:NAKARI
Middle Name:MERCEDES
Last Name:RON
Suffix:
Gender:F
Credentials:MSW/ASW
Other - Prefix:
Other - First Name:NAKARI
Other - Middle Name:MERCEDES
Other - Last Name:SMALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW/ASW
Mailing Address - Street 1:230 GOLDEN GATE AVENUE
Mailing Address - Street 2:TOM WADDELL URBAN HEALTH CLINIC
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102
Mailing Address - Country:US
Mailing Address - Phone:415-355-7521
Mailing Address - Fax:415-674-6378
Practice Address - Street 1:230 GOLDEN GATE AVENUE
Practice Address - Street 2:TOM WADDELL URBAN HEALTH CLINIC
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-355-7521
Practice Address - Fax:415-674-6378
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical