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NPI Code Detail

MEDICARE: MS. SARA A BISIKIRSKI MSW

MEDICARE: MS. SARA A BISIKIRSKI MSW
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 WorkerASW 15810CA

General Provider Information

NPI Number : 1215001086
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARA A BISIKIRSKI MSW
Provider Business Mailing Address
First Line : 1525 BAKER ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-2908
Country : US
Telephone Number : 415-424-3375
Fax Number :
Provider Business Practice Location Address
First Line : 1460 PINE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-4720
Country : US
Telephone Number : 415-202-0580
Fax Number : 415-202-0584
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 07/08/2007

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