| Family Service Agency Of San Mateo County | |
|
2600 Middlefield Rd Redwood City CA 94063-3402 | |
| (650) 780-7541 | |
| (650) 701-0856 |
| Full Name | Family Service Agency Of San Mateo County |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2600 Middlefield Rd, Redwood City, California |
| Authorized Official Name and Position | Laurie Wishard (AGENCY PRESIDENT) |
| Authorized Official Contact | 6504034300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Agency Of San Mateo County 24 2nd Ave San Mateo CA 94401-3828 Ph: (650) 403-4300 | Family Service Agency Of San Mateo County 2600 Middlefield Rd Redwood City CA 94063-3402 Ph: (650) 780-7541 |
| NPI Number | 1669406815 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669406815 | NPI | - | NPPES |
| ZZZ398386507010856 | Other | CA | UNSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW (California) | Primary |
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