Seri Gerszewski

Individual provider Active NPI Social Worker · Grafton, ND

NPI 1154739639 · NPPES record last updated Jul 28, 2014

Key facts

NPI
1154739639
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
4185 (ND)
Practice address
516 Cooper Ave
Grafton, ND 58237-1512
Phone
(701) 352-5111
Fax
(701) 352-5060
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4185NDMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4185 ND Yes

Addresses

Primary practice location

516 Cooper Ave
Grafton, ND 58237-1512

Mailing address

516 Cooper Ave
Grafton, ND 58237-1512
Phone (701) 352-5111

Other identifiers

IdentifierTypeStateIssuer
50760MedicaidND
79332MedicaidND

Other providers in Grafton, ND

All providers in Grafton, ND · Social Worker in North Dakota

Sources for this page

Verify at the official NPI Registry.