Healthcare Provider Details
I. General information
NPI: 1083114748
Provider Name (Legal Business Name): MICHELLE T VO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/19/2018
Last Update Date: 12/24/2021
Certification Date: 12/24/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2211 POST ST STE 300
SAN FRANCISCO CA
94115-3442
US
IV. Provider business mailing address
2211 POST ST STE 300
SAN FRANCISCO CA
94115-3464
US
V. Phone/Fax
- Phone: 415-326-7885
- Fax:
- Phone: 415-326-7885
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 99670 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: