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NPI Code Detail

MEDICARE: MR. RONALD PEDER WOLFF L.C.S.W.

MEDICARE:  MR. RONALD PEDER WOLFF  L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS11483CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LCS11483OTHERCAL.C.S.W.

General Provider Information

NPI Number : 1568414472
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RONALD PEDER WOLFF L.C.S.W.
Provider Business Mailing Address
First Line : 333 TURK ST.
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102
Country : US
Telephone Number : 415-292-1081
Fax Number :
Provider Business Practice Location Address
First Line : 333 TURK ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-3703
Country : US
Telephone Number : 415-292-1081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 07/08/2007

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Directions to “ MR. RONALD PEDER WOLFF L.C.S.W.” Practice Location

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