MEDICARE: KATHERINE ANN KASARJIAN LMSW

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	51274	TX

General Provider Information

NPI Number	:	1467636407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ANN KASARJIAN LMSW

Provider Business Mailing Address
First Line	:	36000 DARNALL LOOP
Second Line	:	CARL R. DARNALL ARMY MEDICAL CENTER ATTN: DSW
City	:	FT. HOOD
State	:	TX
Zip	:	76544-4752
Country	:	US
Telephone Number	:	254-288-6474
Fax Number	:	254-288-3281

Provider Business Practice Location Address
First Line	:	36000 DARNALL LOOP
Second Line	:	CARL R. DARNALL ARMY MEDICAL CENTER ATTN: DSW
City	:	FT. HOOD
State	:	TX
Zip	:	76544-4752
Country	:	US
Telephone Number	:	254-288-6474
Fax Number	:	254-288-3281

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

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	12/27/2007

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