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NPI Code Detail

MEDICARE: MR. ROBERT FRANK HIRSCH MSW, LCSW

MEDICARE: MR. ROBERT FRANK HIRSCH MSW, 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
11041C0700XClinical Social WorkerLW00004952WA

General Provider Information

NPI Number : 1881612174
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT FRANK HIRSCH MSW, LCSW
Provider Business Mailing Address
First Line : 1429 N 45TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-6706
Country : US
Telephone Number : 206-778-2236
Fax Number :
Provider Business Practice Location Address
First Line : 4500 9TH AVE NE STE 300
Second Line :
City : SEATTLE
State : WA
Zip : 98105-4762
Country : US
Telephone Number : 206-829-2425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 07/08/2007

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