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General NPI Number Information
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NPI Number | 1154639938
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Entity Type | Individual
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Provider Name | MEGAN WIMMERSBERGER LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1421 BRODERICK ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3304
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Country | US
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Telephone | 415-292-1760
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Fax | 415-292-1636
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Provider Business Mailing Address
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Address Line | 1421 BRODERICK ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3304
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Country | US
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Telephone | 415-292-1760
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Fax | 415-292-1636
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 32032
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 81031
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License Number State | CA
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