Provider Demographics
NPI:1760636740
Name:BUEHLER, SALLY (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:
Last Name:BUEHLER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 TURNAGAIN RD
Mailing Address - Street 2:
Mailing Address - City:KENTFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94904-2717
Mailing Address - Country:US
Mailing Address - Phone:415-461-2278
Mailing Address - Fax:
Practice Address - Street 1:900 S ELISEO DR
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-2134
Practice Address - Country:US
Practice Address - Phone:415-461-5277
Practice Address - Fax:415-461-8237
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 27321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical