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NPI Code Detail

MEDICARE: ROBERT J EVERT

MEDICARE:   ROBERT J EVERT
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 Worker

General Provider Information

NPI Number : 1861055048
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT J EVERT
Provider Business Mailing Address
First Line : 9601 COLESVILLE RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-3145
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8720 CARROLL AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20903-3149
Country : US
Telephone Number : 240-602-2608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2019
Last Update Date : 04/15/2019

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