Healthcare Provider Details
I. General information
NPI: 1013099167
Provider Name (Legal Business Name): THUY BICH NGUYEN-SMITH MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/19/2006
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
729 FILBERT ST
SAN FRANCISCO CA
94133-2760
US
IV. Provider business mailing address
729 FILBERT ST
SAN FRANCISCO CA
94133-2760
US
V. Phone/Fax
- Phone: 415-352-2000
- Fax: 415-352-2050
- Phone: 415-352-2000
- Fax: 415-352-2050
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | LCS #16997 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: