MEDICARE: MS. PATRICIA BINNS LCSW, CAP

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	2033	FL
2	1041C0700X	Clinical Social Worker	SW5460	FL

General Provider Information

NPI Number	:	1629071055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA BINNS LCSW, CAP

Provider Business Mailing Address
First Line	:	5935 U. S. HWY. 27 NORTH
Second Line	:	#101
City	:	SEBRING
State	:	FL
Zip	:	33870-1200
Country	:	US
Telephone Number	:	863-386-5247
Fax Number	:	863-386-0158

Provider Business Practice Location Address
First Line	:	5935 US HIGHWAY 27 N
Second Line	:	#101
City	:	SEBRING
State	:	FL
Zip	:	33870-1200
Country	:	US
Telephone Number	:	863-386-5247
Fax Number	:	863-386-0158

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/22/2012

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