MEDICARE: SHAYRIKA IRIS ABREU

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	0904013330	VA

General Provider Information

NPI Number	:	1295489201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAYRIKA IRIS ABREU

Provider Business Mailing Address
First Line	:	3504 FOREST SPRING CT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2080
Country	:	US
Telephone Number	:	347-419-2445
Fax Number	:

Provider Business Practice Location Address
First Line	:	3504 FOREST SPRING CT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2080
Country	:	US
Telephone Number	:	347-419-2445
Fax Number	:

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

Provider Enumeration Date	:	02/08/2022
Last Update Date	:	02/08/2022

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Directions to “ SHAYRIKA IRIS ABREU ” Practice Location

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