Healthcare Provider Details

I. General information

NPI: 1932559879
Provider Name (Legal Business Name): ALANA KIVOWITZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 08/06/2020
Certification Date: 08/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 GOUGH ST STE 211
SAN FRANCISCO CA
94102-6804
US

IV. Provider business mailing address

211 GOUGH ST STE 211
SAN FRANCISCO CA
94102-6804
US

V. Phone/Fax

Practice location:
  • Phone: 415-551-0520
  • Fax: 415-551-0524
Mailing address:
  • Phone: 415-551-0520
  • Fax: 415-551-0524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number86427
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801099701
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: