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NPI Code Detail

MEDICARE: LEONARD KLASKOW LCSW

MEDICARE: LEONARD KLASKOW 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 WorkerSW0002787FL
21041C0700XClinical Social WorkerSW2787FL

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 : 1013963099
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARD KLASKOW LCSW
Provider Business Mailing Address
First Line : 9994 83RD ST
Second Line :
City : LARGO
State : FL
Zip : 33777-1910
Country : US
Telephone Number : 727-278-2949
Fax Number : 727-290-6075
Provider Business Practice Location Address
First Line : 4250 66TH ST N
Second Line :
City : KENNETH CITY
State : FL
Zip : 33709-4918
Country : US
Telephone Number : 727-546-2405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 10/15/2019

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