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NPI Code Detail

MEDICARE: KYLIE JANKOWSKI MSW, LCSW

MEDICARE: KYLIE JANKOWSKI MSW, 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 Worker117581TX

General Provider Information

NPI Number : 1396471694
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE JANKOWSKI MSW, LCSW
Provider Business Mailing Address
First Line : 8915 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-1717
Country : US
Telephone Number : 214-351-3490
Fax Number :
Provider Business Practice Location Address
First Line : 8915 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-1717
Country : US
Telephone Number : 214-351-3490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2022
Last Update Date : 02/10/2026

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