Provider Demographics
NPI:1851569982
Name:CADWALLADER, MEREDITH LYNNE (BA, MSW)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LYNNE
Last Name:CADWALLADER
Suffix:
Gender:F
Credentials:BA, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1356 S VAN NESS AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-4006
Mailing Address - Country:US
Mailing Address - Phone:608-213-2077
Mailing Address - Fax:
Practice Address - Street 1:545 ESTUDILLO AVE
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4611
Practice Address - Country:US
Practice Address - Phone:510-746-1188
Practice Address - Fax:510-746-1189
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker