Healthcare Provider Details

I. General information

NPI: 1790830131
Provider Name (Legal Business Name): JANET LIU L.C.S.W., B.C.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2238 GEARY BLVD 6 NE
SAN FRANCISCO CA
94115-3416
US

IV. Provider business mailing address

PO BOX 475596
SAN FRANCISCO CA
94147-5596
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-8248
  • Fax:
Mailing address:
  • Phone: 415-833-8248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS12734
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: