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NPI Code Detail

MEDICARE: MR. MICHAEL SEMSKY LCSW

MEDICARE: MR. MICHAEL SEMSKY 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 Worker073181NY
21041C0700XClinical Social Worker29175CA

General Provider Information

NPI Number : 1730266164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL SEMSKY LCSW
Provider Business Mailing Address
First Line : 719 ROCK CREEK PL
Second Line :
City : PLEASANT HILL
State : CA
Zip : 94523-4735
Country : US
Telephone Number : 914-843-2194
Fax Number :
Provider Business Practice Location Address
First Line : 4368 LINCOLN AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94602-2529
Country : US
Telephone Number : 510-531-3111
Fax Number : 510-530-8083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 01/29/2014

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