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NPI Code Detail

MEDICARE: ALI VERNALIS MSW, ASW

MEDICARE: ALI VERNALIS MSW, ASW
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 WorkerASW125295CA

General Provider Information

NPI Number : 1972241669
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI VERNALIS MSW, ASW
Provider Business Mailing Address
First Line : PO BOX 3026
Second Line :
City : EUREKA
State : CA
Zip : 95502-3026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 930 W HARRIS ST
Second Line :
City : EUREKA
State : CA
Zip : 95503-3927
Country : US
Telephone Number : 707-269-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2022
Last Update Date : 06/03/2026

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