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NPI Code Detail

MEDICARE: MS. KATHLEEN ELAINE RASHID L.C.S.W.

MEDICARE: MS. KATHLEEN ELAINE RASHID L.C.S.W.
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
1104100000XSocial WorkerSW6181FL

General Provider Information

NPI Number : 1700900172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHLEEN ELAINE RASHID L.C.S.W.
Provider Business Mailing Address
First Line : 690 FRIDAY RD
Second Line :
City : COCOA
State : FL
Zip : 32926-3317
Country : US
Telephone Number : 321-636-9941
Fax Number : 321-636-0915
Provider Business Practice Location Address
First Line : 690 FRIDAY RD
Second Line :
City : COCOA
State : FL
Zip : 32926-3317
Country : US
Telephone Number : 321-636-9941
Fax Number : 321-636-0915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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