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NPI Code Detail

MEDICARE: MS. SUSAN KRISTINE SIEP LCSW

MEDICARE: MS. SUSAN KRISTINE SIEP LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS 18756CA

General Provider Information

NPI Number : 1033285366
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN KRISTINE SIEP LCSW
Provider Business Mailing Address
First Line : 4141 GEARY BLVD FL 3
Second Line : KAISER PERMANENTE PSYCHIATRY DEPARTMENT
City : SAN FRANCISCO
State : CA
Zip : 94118-3111
Country : US
Telephone Number : 415-833-2292
Fax Number : 415-833-4765
Provider Business Practice Location Address
First Line : 4141 GEARY BLVD FL 3
Second Line : FRENCH CAMPUS KAISER PSYCHIATRY DEPARTMENT
City : SAN FRANCISCO
State : CA
Zip : 94118-3111
Country : US
Telephone Number : 415-833-1073
Fax Number : 415-833-4765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 01/03/2022

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