MEDICARE: DEBORAH S KAUFMAN 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
1	1041C0700X	Clinical Social Worker	SW4881	FL
2	1041C0700X	Clinical Social Worker	SW 4881	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033110093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH S KAUFMAN LCSW

Provider Business Mailing Address
First Line	:	2100 CONSTITUTION BLVD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-4146
Country	:	US
Telephone Number	:	941-539-1925
Fax Number	:	941-927-2144

Provider Business Practice Location Address
First Line	:	2100 CONSTITUTION BLVD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-4146
Country	:	US
Telephone Number	:	941-539-1925
Fax Number	:	941-927-2144

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	08/13/2020

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