Myron R Siegel, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW 28923 Issued in CA

Practice address

7345 Burton Ave
Rohnert Park, CA 94928-3396

Phone

(707) 793-9030

Fax

(707) 793-9234

NPI assigned

Mar 13, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1437575412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 STANDISH AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954078113",
            "telephone_number": "707-793-9030",
            "fax_number": "707-793-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 BURTON AVE",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949283396",
            "telephone_number": "707-793-9030",
            "fax_number": "707-793-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MYRON",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 28923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misha Sharif, MD
• Susan B. Shea, FNP
• Trisha Maureen Sheldon
• Ila Adrienne Sherman, OTR
• Zachary Siebel, DPT
• Sylvia U Silewicz, PT
• Samantha Silva
• Josiah A. Simpson, B.A., RBT
• Jasjit Singh, DDS
• Navneet Singh, D.M.D.

• Clinical Social Worker in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.