MEDICARE: DINA KLAFTER 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	44SC06066100	NJ

General Provider Information

NPI Number	:	1801430194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINA KLAFTER LCSW

Provider Business Mailing Address
First Line	:	1212 TODD CT
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-2256
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18325 NE 11TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33179-4606
Country	:	US
Telephone Number	:	732-806-1129
Fax Number	:

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

Provider Enumeration Date	:	10/30/2019
Last Update Date	:	04/18/2024

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