Provider Demographics
NPI:1346578028
Name:YAZDANI, SARAH (LCSW 64991)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:YAZDANI
Suffix:
Gender:F
Credentials:LCSW 64991
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 18TH ST STE 255
Mailing Address - Street 2:MAILBOX 207
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2074
Mailing Address - Country:US
Mailing Address - Phone:415-371-9552
Mailing Address - Fax:415-437-3994
Practice Address - Street 1:3150 18TH ST STE 255
Practice Address - Street 2:MAILBOX 207
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2074
Practice Address - Country:US
Practice Address - Phone:415-371-9552
Practice Address - Fax:415-800-6051
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker