MEDICARE: MS. DEVON ROXANN HARRINGTON LCSW/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	1041C0700X	Clinical Social Worker	SW 5468	FL

General Provider Information

NPI Number	:	1619123882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEVON ROXANN HARRINGTON LCSW/CAP

Provider Business Mailing Address
First Line	:	269 NW 7TH ST APT 118
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-3903
Country	:	US
Telephone Number	:	754-581-6226
Fax Number	:	305-246-0310

Provider Business Practice Location Address
First Line	:	950 N KROME AVE STE 408
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-4443
Country	:	US
Telephone Number	:	305-246-0210
Fax Number	:	305-246-0310

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

Provider Enumeration Date	:	08/07/2008
Last Update Date	:	05/07/2020

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