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NPI Code Detail

MEDICARE: DANIEL M SIEVERS LCSW

MEDICARE: DANIEL M SIEVERS 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 Worker34001282AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000188302OTHERINANTHEM BLUE CROSS
2343410OTHERINMHN

General Provider Information

NPI Number : 1578540878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL M SIEVERS LCSW
Provider Business Mailing Address
First Line : PO BOX 556
Second Line :
City : VINCENNES
State : IN
Zip : 47591-0556
Country : US
Telephone Number : 812-494-9501
Fax Number : 812-494-9502
Provider Business Practice Location Address
First Line : 300 N 1ST ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1252
Country : US
Telephone Number : 812-494-9510
Fax Number : 812-494-9511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 11/08/2024

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Directions to “ DANIEL M SIEVERS LCSW” Practice Location

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