Healthcare Provider Details

I. General information

NPI: 1336084599
Provider Name (Legal Business Name): HARINI MADHAVAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 NOE ST
SAN FRANCISCO CA
94114-3714
US

IV. Provider business mailing address

2370 39TH AVE
SAN FRANCISCO CA
94116-2143
US

V. Phone/Fax

Practice location:
  • Phone: 415-695-5675
  • Fax:
Mailing address:
  • Phone: 510-697-4343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: