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NPI Code Detail

MEDICARE: MS. JANE WARREN LCSW

MEDICARE: MS. JANE WARREN 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 WorkerLCS9962CA

General Provider Information

NPI Number : 1174661896
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANE WARREN LCSW
Provider Business Mailing Address
First Line : 831 MIRAMAR AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94707-1812
Country : US
Telephone Number : 510-527-9789
Fax Number :
Provider Business Practice Location Address
First Line : 1060 HOWARD ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-2820
Country : US
Telephone Number : 415-252-4788
Fax Number : 415-252-4790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/08/2007

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Directions to “ MS. JANE WARREN LCSW” Practice Location

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