Basic Information
Provider Information
NPI: 1477634954
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LIM-YEE
FirstName: NANCY
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1520 STOCKTON STREET
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941333354
CountryCode: US
TelephoneNumber: 4153919686
FaxNumber: 4154330953
Practice Location
Address1: 211 EASTMOOR AVENUE
Address2:  
City: DALY CITY
State: CA
PostalCode: 940152036
CountryCode: US
TelephoneNumber: 6505503923
FaxNumber: 4154330953
Other Information
ProviderEnumerationDate: 10/18/2006
LastUpdateDate: 02/28/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XLCS20790CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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