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NPI Code Detail

MEDICARE: KEVIN JOSEPH MURPHY LCSW

MEDICARE:   KEVIN JOSEPH MURPHY  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 Worker070877-1NY
21041C0700XClinical Social WorkerLW61035815WA

General Provider Information

NPI Number : 1699876177
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN JOSEPH MURPHY LCSW
Provider Business Mailing Address
First Line : 407 W WATER ST
Second Line :
City : ELMIRA
State : NY
Zip : 14905-2521
Country : US
Telephone Number : 607-734-0980
Fax Number : 607-734-0981
Provider Business Practice Location Address
First Line : 6505 216TH ST SW STE 100
Second Line :
City : MOUNTLAKE TERRACE
State : WA
Zip : 98043-2089
Country : US
Telephone Number : 607-734-0980
Fax Number : 607-734-0981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 03/06/2023

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Directions to “ KEVIN JOSEPH MURPHY LCSW” Practice Location

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