Healthcare Provider Details

I. General information

NPI: 1508322116
Provider Name (Legal Business Name): SOPHIE SEIGLER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2019
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date: 07/09/2019
Reactivation Date: 07/15/2020

III. Provider practice location address

300 MONTGOMERY ST STE 204
SAN FRANCISCO CA
94104-1904
US

IV. Provider business mailing address

300 MONTGOMERY ST STE 204
SAN FRANCISCO CA
94104-1904
US

V. Phone/Fax

Practice location:
  • Phone: 415-202-5159
  • 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 StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: