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NPI Code Detail

MEDICARE: LISA JENNIFER RACHOWICZ AMSW

MEDICARE:   LISA JENNIFER RACHOWICZ  AMSW
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
1101YM0800XMental Health CounselorASW 16999CA

General Provider Information

NPI Number : 1417007287
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA JENNIFER RACHOWICZ AMSW
Provider Business Mailing Address
First Line : 368 FELL ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-5144
Country : US
Telephone Number : 415-861-0828
Fax Number : 415-861-0257
Provider Business Practice Location Address
First Line : 1443 7TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-3702
Country : US
Telephone Number : 415-242-8034
Fax Number : 415-242-8039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/08/2007

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Directions to “ LISA JENNIFER RACHOWICZ AMSW” Practice Location

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