MEDICARE: MS. ROSALIE R SCHWARTZ 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	104100000X	Social Worker	6801015472	MI

General Provider Information

NPI Number	:	1699884866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSALIE R SCHWARTZ LMSW

Provider Business Mailing Address
First Line	:	28592 ORCHARD LAKE RD
Second Line	:	SUITE 301
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-2961
Country	:	US
Telephone Number	:	248-821-8489
Fax Number	:

Provider Business Practice Location Address
First Line	:	28592 ORCHARD LAKE RD
Second Line	:	SUITE 301
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-2961
Country	:	US
Telephone Number	:	248-821-8489
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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