Provider Demographics
NPI:1801413828
Name:CASEY, CAROLINE EILBECK (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:EILBECK
Last Name:CASEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:CAROLINE
Other - Middle Name:GIELIS
Other - Last Name:EILBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1975 4TH STREET, BOX 4012
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-502-3829
Mailing Address - Fax:415-353-2190
Practice Address - Street 1:1975 4TH STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-502-3829
Practice Address - Fax:415-353-2190
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS203251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical