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NPI Code Detail

MEDICARE: MRS. DEBORAH LYNN KERN LCSW

MEDICARE:  MRS. DEBORAH LYNN KERN  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
11041C0700XClinical Social Worker2025021622MO
21041C0700XClinical Social WorkerSW 10061FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SW10061OTHERFLFLDOH DIV OF MED QUALITY ASSURANCE

General Provider Information

NPI Number : 1043539711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH LYNN KERN LCSW
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2458 OLD DORSETT RD STE 110
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-2423
Country : US
Telephone Number : 636-939-2550
Fax Number : 636-939-2551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2010
Last Update Date : 02/02/2026

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Directions to “ MRS. DEBORAH LYNN KERN LCSW” Practice Location

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