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NPI Code Detail

MEDICARE: MARGARET BAGNALL YARDLEY L.C.S.W.

MEDICARE: MARGARET BAGNALL YARDLEY L.C.S.W.
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 Worker096057NY
21041C0700XClinical Social Worker24967CA

General Provider Information

NPI Number : 1669523114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET BAGNALL YARDLEY L.C.S.W.
Provider Business Mailing Address
First Line : 4351 BROADWAY
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4612
Country : US
Telephone Number : 510-450-5421
Fax Number :
Provider Business Practice Location Address
First Line : 4351 BROADWAY
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4612
Country : US
Telephone Number : 510-450-5421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 09/07/2023

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