MEDICARE: MR. DAGOBERT JOSEPH GEORGES 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	9987	FL
2	1041C0700X	Clinical Social Worker	SW9987	FL

General Provider Information

NPI Number	:	1679798235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAGOBERT JOSEPH GEORGES LCSW

Provider Business Mailing Address
First Line	:	237 N WARE DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3857
Country	:	US
Telephone Number	:	561-847-5970
Fax Number	:

Provider Business Practice Location Address
First Line	:	237 N WARE DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3857
Country	:	US
Telephone Number	:	561-478-1125
Fax Number	:	561-471-3973

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	12/30/2024

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