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NPI Code Detail

MEDICARE: RACHEL L JAWORSKI LCSW

MEDICARE:   RACHEL L JAWORSKI  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 Worker16678FL

General Provider Information

NPI Number : 1215623046
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL L JAWORSKI LCSW
Provider Business Mailing Address
First Line : 331 GRIS SKY LN
Second Line :
City : BRADENTON
State : FL
Zip : 34212-3605
Country : US
Telephone Number : 609-230-2433
Fax Number :
Provider Business Practice Location Address
First Line : 5157 PARK CLUB DR
Second Line :
City : SARASOTA
State : FL
Zip : 34235-1801
Country : US
Telephone Number : 845-540-2555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2023
Last Update Date : 04/14/2023

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Directions to “ RACHEL L JAWORSKI LCSW” Practice Location

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