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NPI Code Detail

MEDICARE: KATHERINE KING COSIMANO LCSW

MEDICARE:   KATHERINE KING COSIMANO  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 WorkerSW 9931FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SW 9931OTHERFLSTATE OF FLORIDA DEPARTMENT OF HEALTH

General Provider Information

NPI Number : 1831488246
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE KING COSIMANO LCSW
Provider Business Mailing Address
First Line : 4285 SW MARTIN HWY
Second Line :
City : PALM CITY
State : FL
Zip : 34990-8615
Country : US
Telephone Number : 772-828-0778
Fax Number : 772-345-3152
Provider Business Practice Location Address
First Line : 4285 SW MARTIN HWY
Second Line :
City : PALM CITY
State : FL
Zip : 34990-8615
Country : US
Telephone Number : 772-828-0778
Fax Number : 772-345-3152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2011
Last Update Date : 03/26/2012

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Directions to “ KATHERINE KING COSIMANO LCSW” Practice Location

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