Healthcare Provider Details

I. General information

NPI: 1164776712
Provider Name (Legal Business Name): MING CHEUNG AU MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2012
Last Update Date: 01/12/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 LAGUNA HONDA BLVD # 5F
SAN FRANCISCO CA
94116-1411
US

IV. Provider business mailing address

375 LAGUNA HONDA BLVD
SAN FRANCISCO CA
94116-1411
US

V. Phone/Fax

Practice location:
  • Phone: 415-519-0272
  • Fax: 415-759-4670
Mailing address:
  • Phone: 415-519-0272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW32669
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: