MEDICARE: APRIL DANIELLE IVEY LCSW-C

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
1	1041C0700X	Clinical Social Worker	18362	MD
2	1041C0700X	Clinical Social Worker	SW22214	FL

General Provider Information

NPI Number	:	1174071757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL DANIELLE IVEY LCSW-C

Provider Business Mailing Address
First Line	:	360 NW 27TH ST # 8-109
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33127-4158
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3555 CARRIAGE WALK LN
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-2052
Country	:	US
Telephone Number	:	703-901-9223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2016
Last Update Date	:	11/03/2023

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