Healthcare Provider Details

I. General information

NPI: 1346621166
Provider Name (Legal Business Name): MICHAEL SCOT DELAROSA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

988 HOWARD ST SOCIAL SERVICES OFFICE
SAN FRANCISCO CA
94103-4183
US

IV. Provider business mailing address

1385 MISSION ST STE 200
SAN FRANCISCO CA
94103-2631
US

V. Phone/Fax

Practice location:
  • Phone: 415-315-9534
  • Fax: 415-975-9932
Mailing address:
  • Phone: 415-315-9534
  • Fax: 415-975-9932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: