Provider Demographics
NPI:1073677456
Name:KAO, BENJAMIN (LCSW)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:KAO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:HONG PING
Other - Middle Name:
Other - Last Name:KAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:90 HEATHER AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2752
Mailing Address - Country:US
Mailing Address - Phone:415-751-4047
Mailing Address - Fax:
Practice Address - Street 1:4000 GEARY BLVD STE 201
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3121
Practice Address - Country:US
Practice Address - Phone:415-359-8457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS222101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical