Provider Demographics
NPI:1932559879
Name:KIVOWITZ, ALANA (LCSW)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:KIVOWITZ
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 1:211 GOUGH ST STE 211
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-6804
Mailing Address - Country:US
Mailing Address - Phone:415-551-0520
Mailing Address - Fax:415-551-0524
Practice Address - Street 1:211 GOUGH ST STE 211
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-6804
Practice Address - Country:US
Practice Address - Phone:415-551-0520
Practice Address - Fax:415-551-0524
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA864271041C0700X
MI6801099701104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical