MEDICARE: MRS. ADRIAN SENEY 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	4865	LA

General Provider Information

NPI Number	:	1861888059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ADRIAN SENEY LCSW

Provider Business Mailing Address
First Line	:	302 ARKANSAS ST
Second Line	:
City	:	RUSTON
State	:	LA
Zip	:	71270-2602
Country	:	US
Telephone Number	:	318-548-4848
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 ARKANSAS ST
Second Line	:
City	:	RUSTON
State	:	LA
Zip	:	71270-2602
Country	:	US
Telephone Number	:	318-548-4848
Fax Number	:

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

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	04/14/2015

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