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NPI Code Detail

MEDICARE: MS. LINDA CORBETT SARVIS LCSW, LMT

MEDICARE: MS. LINDA CORBETT SARVIS LCSW, LMT
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
1225700000XMassage TherapistMA23448FL
21041C0700XClinical Social WorkerSW15358FL

Other Identifiers

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

General Provider Information

NPI Number : 1932220787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA CORBETT SARVIS LCSW, LMT
Provider Business Mailing Address
First Line : 3036 KALEB CT
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32309-2515
Country : US
Telephone Number : 850-566-1639
Fax Number :
Provider Business Practice Location Address
First Line : 3201 SHAMROCK ST S STE 103
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32309-3349
Country : US
Telephone Number : 850-566-1639
Fax Number : 850-894-0062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 09/26/2019

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