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NPI Code Detail

MEDICARE: ANETA E PIASECKI LCSW

MEDICARE:   ANETA E PIASECKI  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 Worker125412MA
21041C0700XClinical Social Worker0904009418VA

General Provider Information

NPI Number : 1609060110
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANETA E PIASECKI LCSW
Provider Business Mailing Address
First Line : 1320 RICHMOND RD
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23185-2831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 287 LORTON AVE
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-4203
Country : US
Telephone Number : 877-505-7147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2007
Last Update Date : 04/16/2023

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Directions to “ ANETA E PIASECKI LCSW” Practice Location

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