=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275716227
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEVA D KAIL MA LCSW PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/13/2007
-----------------------------------------------------
Last Update Date | 12/19/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7301 W PALMETTO PARK RD STE 205A
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33433-3458
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-416-4999
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7301 W PALMETTO PARK RD STE 205A
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33433-3458
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | STEVA D KAIL
-----------------------------------------------------
Credential | MA LCSW
-----------------------------------------------------
Telephone | 561-416-4999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | SW4440
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------