Provider Demographics
NPI:1932220589
Name:ROVERE, ANN MEGAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:MEGAN
Last Name:ROVERE
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 1:120 MADRID STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-2009
Mailing Address - Country:US
Mailing Address - Phone:415-334-1984
Mailing Address - Fax:415-586-3148
Practice Address - Street 1:120 MADRID STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-2009
Practice Address - Country:US
Practice Address - Phone:415-334-1984
Practice Address - Fax:415-586-3148
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS140861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ36612ZMedicare ID - Type Unspecified