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NPI Code Detail

MEDICARE: MRS. JENNIE LYNN BEUER LCSW, MSW, RPT

MEDICARE: MRS. JENNIE LYNN BEUER LCSW, MSW, RPT
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 Worker9923004CO
21041C0700XClinical Social WorkerSW11698FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518268291
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIE LYNN BEUER LCSW, MSW, RPT
Provider Business Mailing Address
First Line : 390 PONDELLA RD
Second Line : SUITE 9
City : NORTH FORT MYERS
State : FL
Zip : 33903-4340
Country : US
Telephone Number : 239-652-0260
Fax Number :
Provider Business Practice Location Address
First Line : 390 PONDELLA RD
Second Line : SUITE 9
City : NORTH FORT MYERS
State : FL
Zip : 33903-4340
Country : US
Telephone Number : 239-652-0260
Fax Number : 239-652-0146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2010
Last Update Date : 10/25/2019

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