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NPI Code Detail

MEDICARE: CATHERINE A MUSICK-VINYARD LCSW

MEDICARE:   CATHERINE A MUSICK-VINYARD  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 WorkerC004072NC
21041C0700XClinical Social Worker7579CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487752838
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE A MUSICK-VINYARD LCSW
Provider Business Mailing Address
First Line : 3359 CHICAGO AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-6820
Country : US
Telephone Number : 919-345-5174
Fax Number :
Provider Business Practice Location Address
First Line : 7471 RUDELL RD
Second Line :
City : CORONA
State : CA
Zip : 92881-4278
Country : US
Telephone Number : 919-345-5174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 03/27/2018

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Directions to “ CATHERINE A MUSICK-VINYARD LCSW” Practice Location

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