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NPI Code Detail

MEDICARE: DENISE O. KINSER LCSW

MEDICARE:   DENISE O. KINSER  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 WorkerC005144NC

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 : 1124047782
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE O. KINSER LCSW
Provider Business Mailing Address
First Line : 3427 FIELDING AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-3959
Country : US
Telephone Number : 704-281-5178
Fax Number :
Provider Business Practice Location Address
First Line : 447 S SHARON AMITY RD STE 200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-2836
Country : US
Telephone Number : 704-281-5178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 12/19/2018

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Directions to “ DENISE O. KINSER LCSW” Practice Location

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