MEDICARE: REBECCA SVRJCEK

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
1	1041C0700X	Clinical Social Worker	17889	MD

General Provider Information

NPI Number	:	1649518143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA SVRJCEK

Provider Business Mailing Address
First Line	:	1515 RIVERSIDE AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-4624
Country	:	US
Telephone Number	:	410-688-9621
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 W 40TH ST STE 320
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21211-2109
Country	:	US
Telephone Number	:	410-688-9621
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2013
Last Update Date	:	01/14/2026

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Directions to “ REBECCA SVRJCEK ” Practice Location

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