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NPI Code Detail

MEDICARE: DANIEL ROBERT CIMO LCSW

MEDICARE:   DANIEL ROBERT CIMO  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 Worker0904017607VA

General Provider Information

NPI Number : 1376354639
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ROBERT CIMO LCSW
Provider Business Mailing Address
First Line : 904 DWYER CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-6915
Country : US
Telephone Number : 757-617-5461
Fax Number :
Provider Business Practice Location Address
First Line : 904 DWYER CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-6915
Country : US
Telephone Number : 757-617-5461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2025
Last Update Date : 01/16/2025

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Directions to “ DANIEL ROBERT CIMO LCSW” Practice Location

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