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NPI Code Detail

MEDICARE: RON K FEINBERG MSW, LICSW

MEDICARE:   RON K FEINBERG  MSW, LICSW
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 WorkerLW00004561WA

General Provider Information

NPI Number : 1861516825
Entity Type Code : Individual
Provider Name (Legal Business Name) : RON K FEINBERG MSW, LICSW
Provider Business Mailing Address
First Line : 8015 SE 28TH ST
Second Line : STE 309
City : MERCER ISLAND
State : WA
Zip : 98040-2910
Country : US
Telephone Number : 206-236-1294
Fax Number : 630-604-9955
Provider Business Practice Location Address
First Line : 8015 SE 28TH ST
Second Line : SUITE 201
City : MERCER ISLAND
State : WA
Zip : 98040-2910
Country : US
Telephone Number : 206-236-1294
Fax Number : 630-604-9955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 01/03/2022

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