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NPI Code Detail

MEDICARE: KELSEA VERDI LCSW

MEDICARE: KELSEA VERDI 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 Worker098451NY

General Provider Information

NPI Number : 1770153835
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEA VERDI LCSW
Provider Business Mailing Address
First Line : 580 5TH AVE STE 820
Second Line :
City : NEW YORK
State : NY
Zip : 10036-4762
Country : US
Telephone Number : 347-871-1545
Fax Number :
Provider Business Practice Location Address
First Line : 580 5TH AVE STE 820
Second Line :
City : NEW YORK
State : NY
Zip : 10036-4762
Country : US
Telephone Number : 347-871-1545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2021
Last Update Date : 10/05/2024

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Directions to “ KELSEA VERDI LCSW” Practice Location

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