Provider Demographics
NPI:1780871277
Name:LAX, APRIL BETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:BETH
Last Name:LAX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 ONONDAGA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-3212
Mailing Address - Country:US
Mailing Address - Phone:415-452-2100
Mailing Address - Fax:415-452-2193
Practice Address - Street 1:45 ONONDAGA AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-3212
Practice Address - Country:US
Practice Address - Phone:415-452-2100
Practice Address - Fax:415-452-2193
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS138211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical