Provider Demographics
NPI:1831402387
Name:FUJII, SARAH (MSW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:FUJII
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 1:934 JUANA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-5127
Mailing Address - Country:US
Mailing Address - Phone:510-909-4802
Mailing Address - Fax:
Practice Address - Street 1:545 ESTUDILLO AVE.
Practice Address - Street 2:STARS COMMUNITY SERVICES
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577
Practice Address - Country:US
Practice Address - Phone:510-352-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC601746891041C0700X
CAASW 330831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical