| Bobette Smith Siegel Msw Llc | |
|
14362 N Frank Lloyd Wright Blvd Ste 1000 Scottsdale AZ 85260 | |
| (480) 948-6222 | |
| (480) 219-9970 |
| Full Name | Bobette Smith Siegel Msw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14362 N Frank Lloyd Wright Blvd Ste 1000, Scottsdale, Arizona |
| Authorized Official Name and Position | Bobette Siegel (OWNER) |
| Authorized Official Contact | 4809486222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobette Smith Siegel Msw Llc 14362 N Frank Lloyd Wright Blvd Ste 1000 Scottsdale AZ 85260-8847 Ph: (480) 948-6222 | Bobette Smith Siegel Msw Llc 14362 N Frank Lloyd Wright Blvd Ste 1000 Scottsdale AZ 85260 Ph: (480) 948-6222 |
| NPI Number | 1336358779 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 12/06/2018 |
| Medicare PECOS PAC ID | 0143329086 |
|---|---|
| Medicare Enrollment ID | O20070619000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336358779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 10901 (Arizona) | Primary |
| Provider Name | Bobette S Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477604940 PECOS PAC ID: 3971609884 Enrollment ID: I20070509000087 |
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