MEDICARE: ESIN PINARLI MSW, CAP

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	ADC-000868-2014	FL

General Provider Information

NPI Number	:	1457712440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESIN PINARLI MSW, CAP

Provider Business Mailing Address
First Line	:	116 VIA D ESTE
Second Line	:	405
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3959
Country	:	US
Telephone Number	:	516-702-8098
Fax Number	:	954-990-8215

Provider Business Practice Location Address
First Line	:	116 VIA D ESTE
Second Line	:	405
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3959
Country	:	US
Telephone Number	:	516-702-8098
Fax Number	:	954-990-8215

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

Provider Enumeration Date	:	03/17/2016
Last Update Date	:	03/17/2016

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