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NPI Code Detail

MEDICARE: NANCY D'IMPERIO LCSW-C

MEDICARE:   NANCY  D'IMPERIO  LCSW-C
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 Worker08790MD

General Provider Information

NPI Number : 1760720312
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY D'IMPERIO LCSW-C
Provider Business Mailing Address
First Line : 4325 NORTHVIEW DR
Second Line :
City : BOWIE
State : MD
Zip : 20716-2601
Country : US
Telephone Number : 410-858-8354
Fax Number :
Provider Business Practice Location Address
First Line : 4325 NORTHVIEW DR
Second Line :
City : BOWIE
State : MD
Zip : 20716-2601
Country : US
Telephone Number : 410-858-8354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2013
Last Update Date : 01/16/2013

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Directions to “ NANCY D'IMPERIO LCSW-C” Practice Location

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