Mr. Shannon Kissinger
Social Worker
4150 Clement St
San Francisco
, California 94121-1545
Mr. Shannon Kissinger
Social Worker
4150 Clement St
San Francisco
, California 94121-1545
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Mr. Shannon Kissinger
- 117 Plymouth Cv
- San Rafael, CA
- Zip : 94901-4460
- Phone :
Second Address
- Mr. Shannon Kissinger
- 4150 Clement St
- San Francisco, CA
- Zip : 94121-1545
- Phone : (415) 221-4848
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker |
National Provider Identifier
| NPI | 1003168808 |
|---|---|
| Provider Name | Mr. Shannon Kissinger |
| First Address | San Rafael, CA 94901-4460 |
| Second Address | San Francisco, CA 94121-1545 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2012 |
| Last Update Date | 04/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.