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NPI Code Detail

MEDICARE: ANN LARKIN LCSW

MEDICARE: ANN LARKIN 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 WorkerCW017104PA

General Provider Information

NPI Number : 1790054799
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN LARKIN LCSW
Provider Business Mailing Address
First Line : 1145 BEVERLY RD
Second Line :
City : JENKINTOWN
State : PA
Zip : 19046-3005
Country : US
Telephone Number : 215-885-9606
Fax Number :
Provider Business Practice Location Address
First Line : 100 LEVITTOWN PKWY
Second Line :
City : LEVITTOWN
State : PA
Zip : 19054-3502
Country : US
Telephone Number : 215-945-2550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2011
Last Update Date : 12/20/2011

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