Provider Demographics
NPI:1841342532
Name:AUERBACK, SANDRA (MSW)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:AUERBACK
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 1:450 SUTTER ST
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4105
Mailing Address - Country:US
Mailing Address - Phone:415-421-8230
Mailing Address - Fax:650-239-0939
Practice Address - Street 1:450 SUTTER ST
Practice Address - Street 2:SUITE 2100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4105
Practice Address - Country:US
Practice Address - Phone:415-421-8230
Practice Address - Fax:415-928-0716
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS68731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ17444ZMedicare ID - Type Unspecified