MEDICARE: MRS. JESSICA ALDRICH STRASSMAN 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	1041C0700X	Clinical Social Worker	LCSW20927	CA

General Provider Information

NPI Number	:	1932627056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JESSICA ALDRICH STRASSMAN LCSW

Provider Business Mailing Address
First Line	:	239 FORBES AVE
Second Line	:
City	:	SAN RAFAEL
State	:	CA
Zip	:	94901-1744
Country	:	US
Telephone Number	:	415-378-7085
Fax Number	:

Provider Business Practice Location Address
First Line	:	822 D ST # 8
Second Line	:
City	:	SAN RAFAEL
State	:	CA
Zip	:	94901-2814
Country	:	US
Telephone Number	:	415-378-7085
Fax Number	:

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

Provider Enumeration Date	:	09/08/2017
Last Update Date	:	09/08/2017

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