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NPI 1225527567

NPI 1225527567 : LISA MARIE PADILLA LCSW : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1225527567
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    Entity Type          |    Individual 
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    Provider Name        |    LISA MARIE PADILLA LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/02/2018
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    Last Update Date     |    03/11/2025
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Provider Practice Location Address
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    Address Line         |    490 POST ST STE 1043 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94102-1301
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    Country              |    US
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    Telephone            |    925-282-1778
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    490 POST ST STE 1043 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94102-1301
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    Country              |    US
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    Telephone            |    925-282-1778
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    Fax                  |    
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    59517
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    90757
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    License Number State |    CA
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