Provider Demographics
NPI:1245535517
Name:DOWNING, SAMATRA MONIQUE (LCSW,PPSC)
Entity type:Individual
Prefix:MS
First Name:SAMATRA
Middle Name:MONIQUE
Last Name:DOWNING
Suffix:
Gender:F
Credentials:LCSW,PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 MCALLISTER ST APT B
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-5912
Mailing Address - Country:US
Mailing Address - Phone:415-377-0988
Mailing Address - Fax:
Practice Address - Street 1:920 MCALLISTER ST APT B
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-5912
Practice Address - Country:US
Practice Address - Phone:415-377-0988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA269701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical