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NPI Code Detail

MEDICARE: ZARAH ELIZABETH ROBERTS LMSW, CADC

MEDICARE: ZARAH ELIZABETH ROBERTS LMSW, CADC
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 : 1558917500
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZARAH ELIZABETH ROBERTS LMSW, CADC
Provider Business Mailing Address
First Line : 123 N LINN ST STE G2
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-2147
Country : US
Telephone Number : 319-318-2308
Fax Number :
Provider Business Practice Location Address
First Line : 123 N LINN ST STE G2
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-2147
Country : US
Telephone Number : 319-318-2308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2019
Last Update Date : 12/14/2021

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