MEDICARE: KATHLEEN SCHELB

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

General Provider Information

NPI Number	:	1295155760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN SCHELB

Provider Business Mailing Address
First Line	:	1007 N BASK DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-1621
Country	:	US
Telephone Number	:	813-205-8371
Fax Number	:	813-443-2587

Provider Business Practice Location Address
First Line	:	4144 N ARMENIA AVE STE 210
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6447
Country	:	US
Telephone Number	:	813-205-8371
Fax Number	:	813-443-2587

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

Provider Enumeration Date	:	04/23/2014
Last Update Date	:	04/23/2014

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Directions to “ KATHLEEN SCHELB ” Practice Location

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