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NPI Code Detail

MEDICARE: MRS. KIMBERLY VEIRA LCSW

MEDICARE: MRS. KIMBERLY VEIRA 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
11041C0700XClinical Social WorkerCSW004011GA

General Provider Information

NPI Number : 1942638747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY VEIRA LCSW
Provider Business Mailing Address
First Line : 945 N INDIAN CREEK DR
Second Line :
City : CLARKSTON
State : GA
Zip : 30021-2221
Country : US
Telephone Number : 404-298-9005
Fax Number : 404-298-0046
Provider Business Practice Location Address
First Line : 945 N INDIAN CREEK DR
Second Line :
City : CLARKSTON
State : GA
Zip : 30021-2221
Country : US
Telephone Number : 404-298-9005
Fax Number : 404-298-0046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2013
Last Update Date : 10/15/2013

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Directions to “ MRS. KIMBERLY VEIRA LCSW” Practice Location

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