=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205996931
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HARRIET E WARF TEMPORARY LSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | SENECA HEALTH SERVICES INC 100 CHURCH STREET
-----------------------------------------------------
City | LEWISBURG
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 24901
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-645-3319
-----------------------------------------------------
Fax | 304-645-6532
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | SENECA HEALTH SERVICES INC 1305 WEBSTER ROAD
-----------------------------------------------------
City | SUMMERSVILLE
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 26651
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-872-6577
-----------------------------------------------------
Fax | 304-872-5415
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | TL05511058
-----------------------------------------------------
License Number State | WV
-----------------------------------------------------