Provider Demographics
NPI:1891871752
Name:UPADHYAY, SVAPANA DESAI (MSW)
Entity Type:Individual
Prefix:
First Name:SVAPANA
Middle Name:DESAI
Last Name:UPADHYAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SAPNA
Other - Middle Name:DESAI
Other - Last Name:UPADYAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1534 PLAZA LN # 107
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3204
Mailing Address - Country:US
Mailing Address - Phone:650-703-0710
Mailing Address - Fax:415-775-7730
Practice Address - Street 1:25 EDWARDS CT STE 101
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-2421
Practice Address - Country:US
Practice Address - Phone:650-342-1966
Practice Address - Fax:650-685-6552
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 214891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical