Provider Demographics
NPI:1801076252
Name:ZUCHOWSKI, JASON CHRISTOPHER (MSW)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:CHRISTOPHER
Last Name:ZUCHOWSKI
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 1:54 TERRA VISTA AVE
Mailing Address - Street 2:#1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3846
Mailing Address - Country:US
Mailing Address - Phone:503-432-7813
Mailing Address - Fax:
Practice Address - Street 1:1663 MISSION ST
Practice Address - Street 2:SUITE 460
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2400
Practice Address - Country:US
Practice Address - Phone:415-715-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker