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NPI Code Detail

MEDICARE: JOSHUA KATES LCSW

MEDICARE:   JOSHUA  KATES  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 WorkerSW15907FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11083920193OTHERNPI

General Provider Information

NPI Number : 1083920193
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA KATES LCSW
Provider Business Mailing Address
First Line : 5707 FOUNTAINS DR S
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-5781
Country : US
Telephone Number : 908-625-4851
Fax Number : 877-832-8784
Provider Business Practice Location Address
First Line : 1645 PALM BEACH LAKES BLVD STE 1200
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2214
Country : US
Telephone Number : 561-693-8840
Fax Number : 877-832-8784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2010
Last Update Date : 10/10/2019

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Directions to “ JOSHUA KATES LCSW” Practice Location

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