Provider Demographics
NPI:1710054200
Name:UCSF
Entity Type:Organization
Organization Name:UCSF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORK ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:KA MAN
Authorized Official - Middle Name:CARMEN
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MFT TRAINEE
Authorized Official - Phone:415-597-8035
Mailing Address - Street 1:939 MARKET ST FL 4
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1730
Mailing Address - Country:US
Mailing Address - Phone:415-597-8035
Mailing Address - Fax:415-597-8004
Practice Address - Street 1:939 MARKET ST FL 4
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1730
Practice Address - Country:US
Practice Address - Phone:415-597-8035
Practice Address - Fax:415-597-8004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00000000000251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management