MEDICARE: MRS. KIRSTEN E. DELMORE MSW, LISW

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	SW25564	FL
2	1041C0700X	Clinical Social Worker	I-0008913	OH
3	101Y00000X	Counselor	I-0008913	OH
4	101Y00000X	Counselor	SW25564	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000290459	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1447314489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIRSTEN E. DELMORE MSW, LISW

Provider Business Mailing Address
First Line	:	PO BOX 4090
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33677-4090
Country	:	US
Telephone Number	:	614-888-8400
Fax Number	:	614-888-8416

Provider Business Practice Location Address
First Line	:	4301 SALTWATER BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-5625
Country	:	US
Telephone Number	:	614-888-8400
Fax Number	:	614-888-8416

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

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	02/05/2026

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