Healthcare Provider Details

I. General information

NPI: 1699745778
Provider Name (Legal Business Name): SHERIE LEE PATON LCSW/UTAH ACSW/CA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERIE LEE PATON MSW, ACSW

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 04/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 MISSION ST
SAN FRANCISCO CA
94103-2543
US

IV. Provider business mailing address

199 POSADA DEL SOL
NOVATO CA
94949-6361
US

V. Phone/Fax

Practice location:
  • Phone: 415-762-3700
  • Fax:
Mailing address:
  • Phone: 415-590-0057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number77062
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRI-PI207110921
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3428793501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: