MEDICARE: MS. STEPHANIE BARBARA FALERO 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
1	1041C0700X	Clinical Social Worker	SW 7314	FL

General Provider Information

NPI Number	:	1639356207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE BARBARA FALERO LCSW

Provider Business Mailing Address
First Line	:	6175 NW 153RD ST STE 404
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2435
Country	:	US
Telephone Number	:	305-558-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	6175 NW 153RD ST STE 404
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2435
Country	:	US
Telephone Number	:	305-558-7400
Fax Number	:

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

Provider Enumeration Date	:	01/25/2008
Last Update Date	:	01/25/2008

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