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NPI Code Detail

MEDICARE: MOSHE R MANHEIM LCSW-C

MEDICARE: MOSHE R MANHEIM LCSW-C
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 WorkerCSW00355GA

General Provider Information

NPI Number : 1275613549
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOSHE R MANHEIM LCSW-C
Provider Business Mailing Address
First Line : 2931 E BIDDLE ST
Second Line : PATIENT ACCOUNTING
City : BALTIMORE
State : MD
Zip : 21213-3939
Country : US
Telephone Number : 443-923-1886
Fax Number : 443-923-1875
Provider Business Practice Location Address
First Line : 1920 BRIARCLIFF RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4010
Country : US
Telephone Number : 404-419-4000
Fax Number : 404-419-4505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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Directions to “ MOSHE R MANHEIM LCSW-C” Practice Location

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