Provider Demographics
NPI:1093854044
Name:CAO, NANG XUAN (LCSW)
Entity type:Individual
Prefix:
First Name:NANG
Middle Name:XUAN
Last Name:CAO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3633 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-1411
Mailing Address - Country:US
Mailing Address - Phone:510-407-6467
Mailing Address - Fax:
Practice Address - Street 1:1048 HOWARD STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2601
Practice Address - Country:US
Practice Address - Phone:415-487-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19806104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ24374ZMedicare ID - Type Unspecified
P70019Medicare UPIN