MEDICARE: MS. ANASTASIA JOZWIK LMSW, CASAC

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	086308	NY

General Provider Information

NPI Number	:	1013279611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANASTASIA JOZWIK LMSW, CASAC

Provider Business Mailing Address
First Line	:	550 1ST AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-6402
Country	:	US
Telephone Number	:	718-414-9489
Fax Number	:

Provider Business Practice Location Address
First Line	:	369 E 148TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-4041
Country	:	US
Telephone Number	:	718-769-2698
Fax Number	:

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

Provider Enumeration Date	:	06/11/2012
Last Update Date	:	03/27/2018

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