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NPI Code Detail

MEDICARE: KAITLYN BACHERT LCSW

MEDICARE: KAITLYN BACHERT 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 WorkerCW027268PA

General Provider Information

NPI Number : 1679000962
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN BACHERT LCSW
Provider Business Mailing Address
First Line : 1700 S LINCOLN AVE
Second Line :
City : LEBANON
State : PA
Zip : 17042-7529
Country : US
Telephone Number : 717-272-6621
Fax Number :
Provider Business Practice Location Address
First Line : 1700 S LINCOLN AVE
Second Line :
City : LEBANON
State : PA
Zip : 17042-7529
Country : US
Telephone Number : 717-272-6621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2017
Last Update Date : 03/25/2026

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Directions to “ KAITLYN BACHERT LCSW” Practice Location

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