Healthcare Provider Details

I. General information

NPI: 1043138969
Provider Name (Legal Business Name): MIA SCHUMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1783 UNION ST
SAN FRANCISCO CA
94123-4426
US

IV. Provider business mailing address

697 18TH AVE
SAN FRANCISCO CA
94121-3822
US

V. Phone/Fax

Practice location:
  • Phone: 415-732-9320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW139515
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: