MEDICARE: GENEVIEVE TREFELNER RASIK MSW, LISW-S

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	104100000X	Social Worker	S.1801866	OH

General Provider Information

NPI Number	:	1770082836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENEVIEVE TREFELNER RASIK MSW, LISW-S

Provider Business Mailing Address
First Line	:	7213 WHISPERING OAK DR
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-1326
Country	:	US
Telephone Number	:	772-485-6742
Fax Number	:	567-317-2761

Provider Business Practice Location Address
First Line	:	3178 N REPUBLIC BLVD STE 12C
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-1509
Country	:	US
Telephone Number	:	772-485-6742
Fax Number	:

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

Provider Enumeration Date	:	02/05/2018
Last Update Date	:	10/29/2024

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