Healthcare Provider Details

I. General information

NPI: 1073735890
Provider Name (Legal Business Name): SYLVIA MARIE ADLER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. SYLVIA ADLER SCHMIDT

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 FRANCISCO ST
BERKELEY CA
94709-2125
US

IV. Provider business mailing address

1150 UNION ST NO 901
SAN FRANCISCO CA
94109-2026
US

V. Phone/Fax

Practice location:
  • Phone: 510-845-3723
  • Fax:
Mailing address:
  • Phone: 415-776-8043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS3649
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: