MEDICARE: MIMI LEE

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
1	1041C0700X	Clinical Social Worker	LCS18673	CA

General Provider Information

NPI Number	:	1942363494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIMI LEE

Provider Business Mailing Address
First Line	:	4141 GEARY BLVD FL 3
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-3111
Country	:	US
Telephone Number	:	415-833-2292
Fax Number	:

Provider Business Practice Location Address
First Line	:	4141 GEARY BLVD FL 3
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-3111
Country	:	US
Telephone Number	:	415-833-2292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1992877054 — MARION LIM YANKOWITZ LCSW
Practice Location Address:

4141 GEARY BLVD FL 3
SAN FRANCISCO, CA
94118-3111

Practice Phone: 415-833-3120
Practice Fax: 415-833-1049

1033285366 — MS. SUSAN KRISTINE SIEP LCSW
Practice Location Address:

4141 GEARY BLVD FL 3 , FRENCH CAMPUS KAISER PSYCHIATRY DEPARTMENT
SAN FRANCISCO, CA
94118-3111

Practice Phone: 415-833-1073
Practice Fax: 415-833-4765

1538220397 — DR. EVELYN MICCIO PSY.D.
Practice Location Address:

4141 GEARY BLVD FL 3
SAN FRANCISCO, CA
94118-3111

Practice Phone: 510-798-3311
Practice Fax:

1801942719 — DR. JAMES ERNEST BEAUFORD PHD
Practice Location Address:

4141 GEARY BLVD FL 3
SAN FRANCISCO, CA
94118-3111

Practice Phone: 415-833-2523
Practice Fax: 415-833-4765

1750427381 — MR. GUADALUPE PACHECO LCSW
Practice Location Address:

4141 GEARY BLVD FL 3
SAN FRANCISCO, CA
94118-3111

Practice Phone: 415-833-2292
Practice Fax: 415-833-4765

1497892533 — DR. KAREN LYNNE HELMUTH PSY.D
Practice Location Address:

4141 GEARY BLVD FL 3 , DEPT. OF PSYCHIATRY
SAN FRANCISCO, CA
94118-3111

Practice Phone: 415-883-3165
Practice Fax: 415-883-4765

Directions to “ MIMI LEE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.