Healthcare Provider Details

I. General information

NPI: 1730091505
Provider Name (Legal Business Name): CONNOR METZ ASW, LSW, MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 GATEWAY BLVD
SOUTH SAN FRANCISCO CA
94080-7020
US

IV. Provider business mailing address

3611 30TH ST
SAN DIEGO CA
92104-3508
US

V. Phone/Fax

Practice location:
  • Phone: 877-505-7147
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW141138
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: