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NPI Code Detail

MEDICARE: BEVERLY LILLIAN WERTHEIMER

MEDICARE: BEVERLY LILLIAN WERTHEIMER
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 Worker

General Provider Information

NPI Number : 1376149476
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY LILLIAN WERTHEIMER
Provider Business Mailing Address
First Line : 477 SUTTER ST.
Second Line : SUITE 405
City : SAN FRANCISCO
State : CA
Zip : 94108
Country : US
Telephone Number : 415-922-6155
Fax Number :
Provider Business Practice Location Address
First Line : 447 SUTTER ST STE 405
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94108-4618
Country : US
Telephone Number : 415-992-6155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2020
Last Update Date : 11/12/2024

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Directions to “ BEVERLY LILLIAN WERTHEIMER ” Practice Location

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