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NPI Code Detail

MEDICARE: KERRY PIERRE-PHILIPPE LCSW

MEDICARE: KERRY PIERRE-PHILIPPE 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 WorkerSW 12695FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144615733
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY PIERRE-PHILIPPE LCSW
Provider Business Mailing Address
First Line : 5607 NW 27TH AVE STE 1
Second Line :
City : MIAMI
State : FL
Zip : 33142-2826
Country : US
Telephone Number : 305-805-1700
Fax Number : 305-805-1715
Provider Business Practice Location Address
First Line : 4692 NW 183RD ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-3054
Country : US
Telephone Number : 53-637-6400
Fax Number : 305-636-5155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2015
Last Update Date : 10/16/2024

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Directions to “ KERRY PIERRE-PHILIPPE LCSW” Practice Location

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