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NPI Code Detail

MEDICARE: MARGARITA BERMUDEZ LCSW

MEDICARE:   MARGARITA  BERMUDEZ  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 Worker26072CA

General Provider Information

NPI Number : 1376715417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARITA BERMUDEZ LCSW
Provider Business Mailing Address
First Line : 327 COLLEGE ST STE 105
Second Line :
City : WOODLAND
State : CA
Zip : 95695-3400
Country : US
Telephone Number : 707-372-9719
Fax Number : 530-772-8441
Provider Business Practice Location Address
First Line : 1652 W TEXAS ST STE 101
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-5952
Country : US
Telephone Number : 707-372-9719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2008
Last Update Date : 05/03/2018

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Directions to “ MARGARITA BERMUDEZ LCSW” Practice Location

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