MEDICARE: MR. RENE KENDALL SEMAS-SCHNEEWEIS 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	104100000X	Social Worker	212410	MA

General Provider Information

NPI Number	:	1134295652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RENE KENDALL SEMAS-SCHNEEWEIS LCSW

Provider Business Mailing Address
First Line	:	209 PARK AVE
Second Line	:
City	:	BRIDGEWATER
State	:	MA
Zip	:	02324-2625
Country	:	US
Telephone Number	:	508-697-6489
Fax Number	:

Provider Business Practice Location Address
First Line	:	294 PLEASANT ST
Second Line	:	SUITE 205
City	:	STOUGHTON
State	:	MA
Zip	:	02072-2571
Country	:	US
Telephone Number	:	781-341-2252
Fax Number	:

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

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	07/08/2007

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