MEDICARE: MARISA ANN WEINSTOCK ASW

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	101YS0200X	School Counselor	ASW124987	CA

General Provider Information

NPI Number	:	1336006758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISA ANN WEINSTOCK ASW

Provider Business Mailing Address
First Line	:	3 15TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-1008
Country	:	US
Telephone Number	:	415-710-5799
Fax Number	:

Provider Business Practice Location Address
First Line	:	1757 MOUNTAIN BLVD
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-2259
Country	:	US
Telephone Number	:	510-879-3143
Fax Number	:

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

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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