MEDICARE: QUYNN KIERS 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
1	104100000X	Social Worker	LICSW1141101	MA

General Provider Information

NPI Number	:	1245928571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUYNN KIERS LCSW

Provider Business Mailing Address
First Line	:	211 E MAIN ST # 412
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-4628
Country	:	US
Telephone Number	:	781-202-5132
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 E MAIN ST # 412
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-4628
Country	:	US
Telephone Number	:	781-202-5132
Fax Number	:

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

Provider Enumeration Date	:	04/25/2023
Last Update Date	:	01/07/2026

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