05D1039605 CLIA NUMBER - PATIENT ASSISTANCE FOUNDATION

Laboratory Demographics

CLIA Number: 05D1039605

Facility Name: PATIENT ASSISTANCE FOUNDATION

Facility Address:
2100 WEBSTER ST SUITE 100
SAN FRANCISCO, CA
ZIP 94115
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Facility Phone Number: 415 923-3155

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1285814921

Taxonomy: 1041C0700X - Social Worker
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

CLIA Record

Field Name Field Value
CLIA Number 05D1039605
LAB Type Other
Facility Name PATIENT ASSISTANCE FOUNDATION
Street 2100 WEBSTER ST SUITE 100
City SAN FRANCISCO
State CA
ZIP 94115
Phone 415 923-3155
CertificateType 4
CertificateEffectiveDate 4/19/2023
CertificateExpirationDate 4/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024