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NPI Code Detail

MEDICARE: LAURA BETH WERNER LCSW

MEDICARE:   LAURA BETH WERNER  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
1101YM0800XMental Health CounselorLB 10288CA
21041C0700XClinical Social WorkerLCSW LB 10288CA

General Provider Information

NPI Number : 1801938600
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA BETH WERNER LCSW
Provider Business Mailing Address
First Line : PO BOX 1626
Second Line :
City : GRASS VALLEY
State : CA
Zip : 95945
Country : US
Telephone Number : 530-274-1430
Fax Number :
Provider Business Practice Location Address
First Line : 206 PROVIDENCE MINE ROAD
Second Line : SUITE 215
City : NEVADA CITY
State : CA
Zip : 95959-2956
Country : US
Telephone Number : 503-274-1430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 12/18/2015

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Directions to “ LAURA BETH WERNER LCSW” Practice Location

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