Provider Demographics
NPI:1700141595
Name:TSIGE, TIRUWORK TAKELE (MSW)
Entity Type:Individual
Prefix:MS
First Name:TIRUWORK
Middle Name:TAKELE
Last Name:TSIGE
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 1:470 FULTON ST APT J
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-4347
Mailing Address - Country:US
Mailing Address - Phone:415-515-4987
Mailing Address - Fax:
Practice Address - Street 1:4150 CLEMENT ST # N116
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1545
Practice Address - Country:US
Practice Address - Phone:415-221-4810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker