MEDICARE: MISS SATPAL KHALSA 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
1	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker	92789	CA

General Provider Information

NPI Number	:	1902257264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SATPAL KHALSA LCSW

Provider Business Mailing Address
First Line	:	465 CALIFORNIA ST STE 470
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-1841
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	465 CALIFORNIA ST STE 470
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-1841
Country	:	US
Telephone Number	:	415-578-9287
Fax Number	:

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

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	03/07/2022

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Directions to “ MISS SATPAL KHALSA LCSW” Practice Location

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