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NPI Code Detail

MEDICARE: KAMI ROBERTS LCSW-R

MEDICARE: KAMI ROBERTS LCSW-R
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 Worker064176-1NY

General Provider Information

NPI Number : 1093895187
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMI ROBERTS LCSW-R
Provider Business Mailing Address
First Line : 2857 W 8TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-3604
Country : US
Telephone Number : 718-265-4200
Fax Number : 718-265-8536
Provider Business Practice Location Address
First Line : 2857 W 8TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-3604
Country : US
Telephone Number : 718-265-4200
Fax Number : 718-265-8536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 07/08/2007

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Directions to “ KAMI ROBERTS LCSW-R” Practice Location

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