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NPI Code Detail

MEDICARE: MELVA DORSEY REGISTERED CSWI

MEDICARE:   MELVA  DORSEY  REGISTERED CSWI
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
11041S0200XSchool Social WorkerISW991FL

General Provider Information

NPI Number : 1720638638
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELVA DORSEY REGISTERED CSWI
Provider Business Mailing Address
First Line : 1718 BAYVIEW DR
Second Line :
City : LAKELAND
State : FL
Zip : 33805-2618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1718 BAYVIEW DR
Second Line :
City : LAKELAND
State : FL
Zip : 33805-2618
Country : US
Telephone Number : 216-224-2528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2019
Last Update Date : 09/13/2019

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Directions to “ MELVA DORSEY REGISTERED CSWI” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.