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NPI Code Detail

MEDICARE: MICHAEL SADOWSKY LICSW

MEDICARE: MICHAEL SADOWSKY LICSW
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 Worker26837MN

General Provider Information

NPI Number : 1457956138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL SADOWSKY LICSW
Provider Business Mailing Address
First Line : 1505 SAINT CLAIR AVE APT 1
Second Line :
City : SAINT PAUL
State : MN
Zip : 55105-2350
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 652 BIELENBERG DR STE 104
Second Line :
City : WOODBURY
State : MN
Zip : 55125-4416
Country : US
Telephone Number : 651-313-8080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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Directions to “ MICHAEL SADOWSKY LICSW” Practice Location

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