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NPI Code Detail

MEDICARE: ELLA GRACE SCHWASNICK

MEDICARE:   ELLA GRACE SCHWASNICK
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
1172V00000XCommunity Health Worker
2101YM0800XMental Health Counselor
3390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1992403570
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLA GRACE SCHWASNICK
Provider Business Mailing Address
First Line : 6850 MORRO RD
Second Line :
City : ATASCADERO
State : CA
Zip : 93422-4123
Country : US
Telephone Number : 510-317-1444
Fax Number :
Provider Business Practice Location Address
First Line : 6850 MORRO RD
Second Line :
City : ATASCADERO
State : CA
Zip : 93422-4123
Country : US
Telephone Number : 510-317-1444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2023
Last Update Date : 04/10/2026

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Directions to “ ELLA GRACE SCHWASNICK ” Practice Location

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