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NPI Code Detail

MEDICARE: ROSEMARY KOLLSTEDT LCSW

MEDICARE: ROSEMARY KOLLSTEDT 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
11041C0700XClinical Social WorkerC000719NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1261420796OTHERNCTAX ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
350033OTHERNCBCBS

General Provider Information

NPI Number : 1144266073
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARY KOLLSTEDT LCSW
Provider Business Mailing Address
First Line : PO BOX 2822
Second Line :
City : MORGANTON
State : NC
Zip : 28680-2822
Country : US
Telephone Number : 828-437-3174
Fax Number : 828-437-3179
Provider Business Practice Location Address
First Line : 327 1ST AVE NW
Second Line :
City : HICKORY
State : NC
Zip : 28601-6122
Country : US
Telephone Number : 828-695-5900
Fax Number : 828-695-4256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 03/02/2017

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