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NPI Code Detail

MEDICARE: MS. KATHY ANN SHEETS LCSW

MEDICARE: MS. KATHY ANN SHEETS 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
1101YM0800XMental Health CounselorSW15767FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SW15767OTHERFLSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851751275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHY ANN SHEETS LCSW
Provider Business Mailing Address
First Line : 1545 9TH ST SW
Second Line :
City : VERO BEACH
State : FL
Zip : 32962-4312
Country : US
Telephone Number : 772-257-8224
Fax Number : 772-213-3157
Provider Business Practice Location Address
First Line : 1400 27TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-0303
Country : US
Telephone Number : 772-257-8224
Fax Number : 772-213-3157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2016
Last Update Date : 03/09/2022

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Directions to “ MS. KATHY ANN SHEETS LCSW” Practice Location

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