MEDICARE: ROSE MARIE SCHERSCHEL 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
1	1041C0700X	Clinical Social Worker	LCSW 3681	HI

General Provider Information

NPI Number	:	1699064923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE MARIE SCHERSCHEL LCSW

Provider Business Mailing Address
First Line	:	PO BOX 533
Second Line	:
City	:	KAPAA
State	:	HI
Zip	:	96746-0533
Country	:	US
Telephone Number	:	808-635-4683
Fax Number	:

Provider Business Practice Location Address
First Line	:	3175 ELUA ST
Second Line	:
City	:	LIHUE
State	:	HI
Zip	:	96766-1203
Country	:	US
Telephone Number	:	808-635-4683
Fax Number	:

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

Provider Enumeration Date	:	04/07/2011
Last Update Date	:	04/09/2016

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