MEDICARE: MRS. ANA MARIA TAPIA MSW, LCSW

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	17349	CA
2	1041C0700X	Clinical Social Worker	27120	CA

General Provider Information

NPI Number	:	1891841227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANA MARIA TAPIA MSW, LCSW

Provider Business Mailing Address
First Line	:	455 E OCEAN BLVD
Second Line	:	APT 1111
City	:	LONG BEACH
State	:	CA
Zip	:	90802-4963
Country	:	US
Telephone Number	:	510-326-2897
Fax Number	:

Provider Business Practice Location Address
First Line	:	455 E OCEAN BLVD
Second Line	:	APT 1111
City	:	LONG BEACH
State	:	CA
Zip	:	90802-4963
Country	:	US
Telephone Number	:	510-326-2897
Fax Number	:

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	03/26/2012

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