Healthcare Provider Details

I. General information

NPI: 1811016405
Provider Name (Legal Business Name): WILLIAM C TORRES LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 10/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 MISSION STREET 4TH FLOOR
SAN FRANCISCO CA
94103
US

IV. Provider business mailing address

1650 MISSION STREET 4TH FLOOR
SAN FRANCISCO CA
94103
US

V. Phone/Fax

Practice location:
  • Phone: 415-355-3680
  • Fax: 415-355-3683
Mailing address:
  • Phone: 415-355-3680
  • Fax: 415-355-3683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS15954
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: