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NPI Code Detail

MEDICARE: KIMBERLY CORTS MSSW, LCSW

MEDICARE: KIMBERLY CORTS MSSW, 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
1104100000XSocial Worker05870IA
21041C0700XClinical Social Worker7837TN

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 : 1013009943
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY CORTS MSSW, LCSW
Provider Business Mailing Address
First Line : 5300 CENTENNIAL BLVD STE 210
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-1696
Country : US
Telephone Number : 615-882-4196
Fax Number : 615-413-9995
Provider Business Practice Location Address
First Line : 5300 CENTENNIAL BLVD STE 210
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-1696
Country : US
Telephone Number : 615-882-4196
Fax Number : 615-413-9995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 09/10/2024

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