MEDICARE: MS. CARROLL CLAUDETTE MUSZKIEWICZ 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	SW05388	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1659641744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARROLL CLAUDETTE MUSZKIEWICZ LCSW

Provider Business Mailing Address
First Line	:	1499 NE 30TH CT
Second Line	:
City	:	OAKLAND PK
State	:	FL
Zip	:	33334
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4546 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-5204
Country	:	US
Telephone Number	:	954-716-6514
Fax Number	:	754-223-2984

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

Provider Enumeration Date	:	01/05/2012
Last Update Date	:	09/24/2024

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