| Community Health Resource Center | |
|
2351 Clay St Ste 141 San Francisco CA 94115-1931 | |
| (415) 923-3155 | |
| Not Available |
| Full Name | Community Health Resource Center |
|---|---|
| Speciality | Social Worker |
| Location | 2351 Clay St Ste 141, San Francisco, California |
| Authorized Official Name and Position | William Scott Plymale (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4159233155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Resource Center 2333 Buchanan St Ste 1090 San Francisco CA 94115-1925 Ph: (415) 923-3155 | Community Health Resource Center 2351 Clay St Ste 141 San Francisco CA 94115-1931 Ph: (415) 923-3155 |
| NPI Number | 1285814921 |
|---|---|
| Provider Enumeration Date | 11/10/2007 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Medicare PECOS PAC ID | 7911987078 |
|---|---|
| Medicare Enrollment ID | O20040721000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285814921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | William S Plymale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649347287 PECOS PAC ID: 2769563204 Enrollment ID: I20110919000632 |
| Provider Name | Julio C Lagos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629106141 PECOS PAC ID: 3577884410 Enrollment ID: I20150604000819 |
| Provider Name | Jennice D Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396104170 PECOS PAC ID: 8527364702 Enrollment ID: I20160315000755 |
| Provider Name | Leah M Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225344088 PECOS PAC ID: 0941497101 Enrollment ID: I20201102002134 |
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