Healthcare Provider Details

I. General information

NPI: 1457834087
Provider Name (Legal Business Name): LEAH ROWE HEYMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 SUTTER ST STE 2
SAN FRANCISCO CA
94115-3120
US

IV. Provider business mailing address

2142 SUTTER ST STE 2
SAN FRANCISCO CA
94115-3120
US

V. Phone/Fax

Practice location:
  • Phone: 415-340-0994
  • Fax:
Mailing address:
  • Phone: 415-340-0994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number118638
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: