MEDICARE: MRS. KATHERINE ANNE BEST 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	CW017554	PA

General Provider Information

NPI Number	:	1700234838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE ANNE BEST LCSW

Provider Business Mailing Address
First Line	:	3515 BOWMAN ST
Second Line	:	APT. 1
City	:	PHILADELPHIA
State	:	PA
Zip	:	19129-1510
Country	:	US
Telephone Number	:	610-322-0579
Fax Number	:

Provider Business Practice Location Address
First Line	:	3515 BOWMAN ST
Second Line	:	1
City	:	PHILADELPHIA
State	:	PA
Zip	:	19129-1510
Country	:	US
Telephone Number	:	610-322-0579
Fax Number	:

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

Provider Enumeration Date	:	05/31/2016
Last Update Date	:	05/31/2016

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