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NPI Code Detail

MEDICARE: ROBERT S. WEISS

MEDICARE: ROBERT S. WEISS
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 WorkerLCS 19316CA

General Provider Information

NPI Number : 1841480233
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT S. WEISS
Provider Business Mailing Address
First Line : 1272 HAYES ST
Second Line :
City : NAPA
State : CA
Zip : 94559-1711
Country : US
Telephone Number : 707-346-4294
Fax Number : 707-710-9511
Provider Business Practice Location Address
First Line : 1272 HAYES ST
Second Line :
City : NAPA
State : CA
Zip : 94559-1711
Country : US
Telephone Number : 707-346-4294
Fax Number : 707-710-9511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2007
Last Update Date : 03/06/2025

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