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NPI Code Detail

MEDICARE: CITYWIDE CASE MANAGEMENT

MEDICARE: CITYWIDE CASE MANAGEMENT
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
1251B00000XCase Management Agency106H00000XCA

General Provider Information

NPI Number : 1700959608
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITYWIDE CASE MANAGEMENT
Provider Business Mailing Address
First Line : 939 MARKET ST
Second Line : 4TH FLOOR
City : SAN FRANCISCO
State : CA
Zip : 94103-1706
Country : US
Telephone Number : 415-597-8060
Fax Number : 415-597-8004
Provider Business Practice Location Address
First Line : 939 MARKET ST
Second Line : 4TH FLOOR
City : SAN FRANCISCO
State : CA
Zip : 94103-1706
Country : US
Telephone Number : 415-597-8060
Fax Number : 415-597-8004
Authorized Official
Title or Position : CLINICAL SOCIAL WORKER
Name : MS. MARY LIESEL ROBERTS
Credential : MFTI
Telephone Number : 415-597-8060
Provider Enumeration Date : 11/16/2006
Last Update Date : 08/22/2020

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Directions to “CITYWIDE CASE MANAGEMENT ” Practice Location

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