MEDICARE: MS. CAROL N SHEINKOPF 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
1	101YM0800X	Mental Health Counselor	LCS15939	CA
2	1041C0700X	Clinical Social Worker	LCS15939	CA

General Provider Information

NPI Number	:	1306909296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROL N SHEINKOPF LCSW

Provider Business Mailing Address
First Line	:	2590 SACRAMENTO ST
Second Line	:	301
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-2276
Country	:	US
Telephone Number	:	415-561-9333
Fax Number	:

Provider Business Practice Location Address
First Line	:	2475 WASHINGTON ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1816
Country	:	US
Telephone Number	:	415-561-9333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	01/27/2016

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