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NPI Code Detail

MEDICARE: ERICA BECKY LOUIE CHAO LCSW

MEDICARE: ERICA BECKY LOUIE CHAO 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
11041C0700XClinical Social WorkerLCSW61484CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195-2633765OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1629373121
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA BECKY LOUIE CHAO LCSW
Provider Business Mailing Address
First Line : 270 EAST LN
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-2802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 270 EAST LN
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-2802
Country : US
Telephone Number : 877-505-7147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2011
Last Update Date : 07/30/2024

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