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NPI Code Detail

MEDICARE: MS. LAURA DEBORA SENDEROWICZ L.C.S.W.

MEDICARE: MS. LAURA DEBORA SENDEROWICZ L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW-24830ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134151707
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA DEBORA SENDEROWICZ L.C.S.W.
Provider Business Mailing Address
First Line : PO BOX 190930
Second Line :
City : BOISE
State : ID
Zip : 83719-0930
Country : US
Telephone Number : 208-367-5170
Fax Number :
Provider Business Practice Location Address
First Line : 1150 N SISTER CATHERINE WAY
Second Line :
City : NAMPA
State : ID
Zip : 83687-3133
Country : US
Telephone Number : 208-302-7000
Fax Number : 208-302-7055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 02/10/2026

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