Healthcare Provider Details

I. General information

NPI: 1568344414
Provider Name (Legal Business Name): JIANGYUE LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 NOTTINGHAM PL
SAN FRANCISCO CA
94133-4523
US

IV. Provider business mailing address

1222 HARRISON ST APT 2225
SAN FRANCISCO CA
94103-4468
US

V. Phone/Fax

Practice location:
  • Phone: 415-537-0268
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: