Provider Demographics
NPI:1629131917
Name:JUSTMAN, HELGA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HELGA
Middle Name:
Last Name:JUSTMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 KING ST
Mailing Address - Street 2:#319
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107
Mailing Address - Country:US
Mailing Address - Phone:415-777-4164
Mailing Address - Fax:415-777-4163
Practice Address - Street 1:55 NEW MONTGOMERY
Practice Address - Street 2:#316
Practice Address - City:SF
Practice Address - State:CA
Practice Address - Zip Code:94105
Practice Address - Country:US
Practice Address - Phone:415-777-4164
Practice Address - Fax:415-777-4163
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW11965104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA11326768OtherQH