Healthcare Provider Details

I. General information

NPI: 1144848748
Provider Name (Legal Business Name): AARON GARAY BUCHBINDER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 11/27/2023
Certification Date: 07/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 MISSION ST
SAN FRANCISCO CA
94103-2543
US

IV. Provider business mailing address

300 IVY ST APT 204
SAN FRANCISCO CA
94102-4386
US

V. Phone/Fax

Practice location:
  • Phone: 415-706-0397
  • Fax:
Mailing address:
  • Phone: 415-706-0397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW91695
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: