MEDICARE: WILLIAM PETER AMARAL L.C.S.W.

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	171M00000X	Case Manager/Care Coordinator	LCS 22812	CA

General Provider Information

NPI Number	:	1598813032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM PETER AMARAL L.C.S.W.

Provider Business Mailing Address
First Line	:	379 CHURCH ST
Second Line	:	UNIT 401
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-4015
Country	:	US
Telephone Number	:	415-724-0866
Fax Number	:

Provider Business Practice Location Address
First Line	:	3884 24TH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-3839
Country	:	US
Telephone Number	:	415-724-0866
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/08/2007

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