Provider Demographics
NPI:1871816504
Name:HUEY, LETICIA (MSW)
Entity Type:Individual
Prefix:
First Name:LETICIA
Middle Name:
Last Name:HUEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 GEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3215
Mailing Address - Country:US
Mailing Address - Phone:415-750-4150
Mailing Address - Fax:415-750-4196
Practice Address - Street 1:3626 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3215
Practice Address - Country:US
Practice Address - Phone:415-750-4150
Practice Address - Fax:415-750-4196
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA942978977251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management