MEDICARE: MS. LINDA GAIL KARTELL 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
1	1041C0700X	Clinical Social Worker	SW 3969	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SW 3969	OTHER	FL	STATE OF FLORIDA LICENSE

General Provider Information

NPI Number	:	1861585176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA GAIL KARTELL LCSW

Provider Business Mailing Address
First Line	:	200 BUTLER ST
Second Line	:	SUITE 103
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-6036
Country	:	US
Telephone Number	:	561-236-4873
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 BUTLER ST
Second Line	:	SUITE 103
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-6036
Country	:	US
Telephone Number	:	561-236-4873
Fax Number	:

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/08/2007

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