Provider Demographics
NPI:1992816219
Name:SCHILLER, JUDITH D (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:D
Last Name:SCHILLER
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 NEW MONTGOMERY ST STE 425
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3448
Mailing Address - Country:US
Mailing Address - Phone:415-777-1090
Mailing Address - Fax:415-552-2036
Practice Address - Street 1:55 NEW MONTGOMERY ST STE 425
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105
Practice Address - Country:US
Practice Address - Phone:415-777-1090
Practice Address - Fax:415-552-2036
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS108761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical