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NPI Code Detail

MEDICARE: DARCY HANSEN LCSW

MEDICARE: DARCY HANSEN LCSW
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 WorkerLSC16232CA

General Provider Information

NPI Number : 1598320525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCY HANSEN LCSW
Provider Business Mailing Address
First Line : 2383 CALIFORNIA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-2702
Country : US
Telephone Number : 415-281-9336
Fax Number :
Provider Business Practice Location Address
First Line : 2383 CALIFORNIA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-2702
Country : US
Telephone Number : 415-281-9336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2019
Last Update Date : 05/06/2019

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