Provider Demographics
NPI:1154886802
Name:FARR-RICE, CLARA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CLARA
Middle Name:
Last Name:FARR-RICE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CLARA
Other - Middle Name:
Other - Last Name:FARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:650 MASONIC AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-1256
Mailing Address - Country:US
Mailing Address - Phone:415-652-2549
Mailing Address - Fax:
Practice Address - Street 1:650 MASONIC AVE APT 9
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-1256
Practice Address - Country:US
Practice Address - Phone:415-652-2549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA762971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical