Provider Demographics
NPI:1871782656
Name:WONG, VIVIEN WING-HAN (ACSW)
Entity type:Individual
Prefix:MS
First Name:VIVIEN
Middle Name:WING-HAN
Last Name:WONG
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3575 GEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3212
Mailing Address - Country:US
Mailing Address - Phone:415-379-2665
Mailing Address - Fax:
Practice Address - Street 1:3575 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3212
Practice Address - Country:US
Practice Address - Phone:415-379-2665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker