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NPI Code Detail

MEDICARE: JESSICA SUMBER LCSW

MEDICARE:   JESSICA  SUMBER  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 Worker

General Provider Information

NPI Number : 1275847758
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SUMBER LCSW
Provider Business Mailing Address
First Line : 2929 CURTIS ST APT A
Second Line :
City : DENVER
State : CO
Zip : 80205-2560
Country : US
Telephone Number : 914-388-1547
Fax Number :
Provider Business Practice Location Address
First Line : 2929 CURTIS ST APT A
Second Line :
City : DENVER
State : CO
Zip : 80205-2560
Country : US
Telephone Number : 914-388-1547
Fax Number : 845-331-0526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2010
Last Update Date : 09/23/2019

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