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NPI Code Detail

MEDICARE: DENISE L SERRES LCSW

MEDICARE:   DENISE L SERRES  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 Worker1499 LMPH 775 CMSWNE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
210480OTHERNEMIDLANDS CHOICE
383009OTHERNEBC/BS OF NEBRASKA

General Provider Information

NPI Number : 1588753081
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE L SERRES LCSW
Provider Business Mailing Address
First Line : PO BOX 53
Second Line :
City : NORFOLK
State : NE
Zip : 68702-0053
Country : US
Telephone Number : 402-371-8218
Fax Number : 402-371-8259
Provider Business Practice Location Address
First Line : 1306 N 13TH ST
Second Line :
City : NORFOLK
State : NE
Zip : 68701-2591
Country : US
Telephone Number : 402-371-8218
Fax Number : 402-371-8259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/08/2007

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Directions to “ DENISE L SERRES LCSW” Practice Location

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