Provider Demographics
NPI:1154407567
Name:CHU, CHRISTINE JANET (L C S W)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:JANET
Last Name:CHU
Suffix:
Gender:F
Credentials:L C S W
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3608 SACRAMENTO
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1729
Mailing Address - Country:US
Mailing Address - Phone:415-282-7542
Mailing Address - Fax:
Practice Address - Street 1:3608 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1736
Practice Address - Country:US
Practice Address - Phone:415-282-7542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 89661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical