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NPI Code Detail

MEDICARE: KARIN M ESCALANTE LCSW-C

MEDICARE: KARIN M ESCALANTE LCSW-C
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 Worker13320MD
21041C0700XClinical Social WorkerDP00946919WV

General Provider Information

NPI Number : 1811122286
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARIN M ESCALANTE LCSW-C
Provider Business Mailing Address
First Line : 228 E WASHINGTON ST
Second Line :
City : HAGERSTOWN
State : MD
Zip : 21740-5721
Country : US
Telephone Number : 301-745-6687
Fax Number : 301-739-0041
Provider Business Practice Location Address
First Line : 400 FOXCROFT AVE STE 104
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-5302
Country : US
Telephone Number : 304-513-3495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2009
Last Update Date : 03/24/2025

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