Provider Demographics
NPI:1922259282
Name:MILBURN, MURPHY L (MSW)
Entity Type:Individual
Prefix:MR
First Name:MURPHY
Middle Name:L
Last Name:MILBURN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2379 20TH AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-2420
Mailing Address - Country:US
Mailing Address - Phone:415-822-1585
Mailing Address - Fax:415-822-6443
Practice Address - Street 1:5015 3RD ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-2311
Practice Address - Country:US
Practice Address - Phone:415-822-1585
Practice Address - Fax:415-822-6443
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CA27608101Y00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical