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NPI Code Detail

MEDICARE: JOEL CARL WESTBY LCSW

MEDICARE:   JOEL CARL WESTBY  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 Worker14955MN
21041C0700XClinical Social WorkerSW9627FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518107622
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL CARL WESTBY LCSW
Provider Business Mailing Address
First Line : 603 FULTON RD APT B20
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32312-2214
Country : US
Telephone Number : 651-628-9566
Fax Number :
Provider Business Practice Location Address
First Line : 3101 GINGER DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4437
Country : US
Telephone Number : 561-790-1191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2009
Last Update Date : 10/24/2019

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Directions to “ JOEL CARL WESTBY LCSW” Practice Location

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