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NPI Code Detail

MEDICARE: DANIEL W ALDERMAN MSW, LICSW

MEDICARE: DANIEL W ALDERMAN MSW, 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 WorkerLW60865788WA

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 : 1629471545
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL W ALDERMAN MSW, LICSW
Provider Business Mailing Address
First Line : 1011 E SHARPSBURG AVE
Second Line : APT 505
City : SPOKANE
State : WA
Zip : 99208
Country : US
Telephone Number : 509-730-5189
Fax Number :
Provider Business Practice Location Address
First Line : 601 W 1ST AVE STE 1400
Second Line :
City : SPOKANE
State : WA
Zip : 99201-3813
Country : US
Telephone Number : 509-413-0067
Fax Number : 509-278-4961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2014
Last Update Date : 12/14/2019

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