Individual
MR. EDGAR ALEJANDRO VIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1001 POTRERO AVE, #7M, SAN FRANCISCO, CA 94110
(415) 206-5540
(415) 206-8345
Mailing address
1001 POTRERO AVE, SUITE 7M-EDCM, SAN FRANCISCO, CA 94110
(415) 206-5351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ASW 29101
CA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760502298
—
CA
01
—
ICAN828
LA COUNTY DMH
CA
Enumeration date
09/08/2008
Last updated
09/07/2023
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