MEDICARE: VIRGINIA SIKORSZKY 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
1	1041C0700X	Clinical Social Worker	18156	CA

General Provider Information

NPI Number	:	1497950307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA SIKORSZKY LCSW

Provider Business Mailing Address
First Line	:	PO BOX 2008
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90231-2008
Country	:	US
Telephone Number	:	310-985-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	11600 WASHINGTON PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5033
Country	:	US
Telephone Number	:	310-985-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	05/18/2010

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