Healthcare Provider Details

I. General information

NPI: 1588539100
Provider Name (Legal Business Name): JOYCE LEE BARTLETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 CLAY ST STE 141
SAN FRANCISCO CA
94115-1931
US

IV. Provider business mailing address

2333 BUCHANAN ST STE 1090
SAN FRANCISCO CA
94115-1925
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number128279
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: