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NPI Code Detail

MEDICARE: ARIEL N TINKER LCSW

MEDICARE: ARIEL N TINKER 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
1104100000XSocial Worker22835FL

General Provider Information

NPI Number : 1629415039
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEL N TINKER LCSW
Provider Business Mailing Address
First Line : 7035 DEER LODGE CIR UNIT 106
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-8534
Country : US
Telephone Number : 202-607-7608
Fax Number :
Provider Business Practice Location Address
First Line : 1701 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8152
Country : US
Telephone Number : 202-607-7608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2013
Last Update Date : 09/25/2024

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Directions to “ ARIEL N TINKER LCSW” Practice Location

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