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NPI Code Detail

MEDICARE: MS. LINDA BADER L.C.S.W

MEDICARE: MS. LINDA BADER 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
11041C0700XClinical Social WorkerLCS16299CA

General Provider Information

NPI Number : 1760532121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA BADER L.C.S.W
Provider Business Mailing Address
First Line : 715 FLORIDA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-2025
Country : US
Telephone Number : 415-550-0250
Fax Number :
Provider Business Practice Location Address
First Line : 5028 GEARY BLVD
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-2814
Country : US
Telephone Number : 415-695-2907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 07/08/2007

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