MEDICARE: REBECCA MARGARET SCHLOSSER 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	629	AK

General Provider Information

NPI Number	:	1770552499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA MARGARET SCHLOSSER LCSW

Provider Business Mailing Address
First Line	:	1410 E IRON AVE STE 1
Second Line	:	SALINA CBOC - VA
City	:	SALINA
State	:	KS
Zip	:	67401-3285
Country	:	US
Telephone Number	:	316-619-1585
Fax Number	:

Provider Business Practice Location Address
First Line	:	1410 E IRON AVE STE 1
Second Line	:	SALINA CBOC - VA
City	:	SALINA
State	:	KS
Zip	:	67401-3285
Country	:	US
Telephone Number	:	316-619-1585
Fax Number	:

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

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	11/25/2013

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