MEDICARE: REBECCA FEINSTEIN LMSW

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	6801093713	MI

General Provider Information

NPI Number	:	1629323985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA FEINSTEIN LMSW

Provider Business Mailing Address
First Line	:	705 S MAIN ST STE 101M
Second Line	:
City	:	PLYMOUTH
State	:	MI
Zip	:	48170-1060
Country	:	US
Telephone Number	:	734-234-8442
Fax Number	:

Provider Business Practice Location Address
First Line	:	835 MASON ST STE B310
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-2231
Country	:	US
Telephone Number	:	734-756-8884
Fax Number	:

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

Provider Enumeration Date	:	07/23/2012
Last Update Date	:	11/05/2019

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