Healthcare Provider Details

I. General information

NPI: 1568085058
Provider Name (Legal Business Name): BAILEY ZITO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 SCOTT ST
SAN FRANCISCO CA
94115-3510
US

IV. Provider business mailing address

1430 SCOTT ST
SAN FRANCISCO CA
94115-3510
US

V. Phone/Fax

Practice location:
  • Phone: 225-287-0933
  • Fax:
Mailing address:
  • Phone: 415-440-4306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number99730
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number99730
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number99730
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number99730
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: